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Calcified pseudomeningocele of the lumbar spine: a review

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Abstract

Purpose

In this article, we review the English literature of calcified pseudomeningoceles in the lumbar region.

Methods

A systematic review using the Medline Database using the varied nomenclature for pseudomeningoceles, as well as reviewing the reference lists of relevant article found.

Results

We discuss the different pathological theories on formation of a pseudomeningocele, the formation of a calcified wall and the optimal management for this entity. To date, 17 cases have been described, of which 13 are reviewed here. Calcification of pseudomeningocele is a rare entity and in the lumbar spine this occurs postsurgically. The only predisposing factor is prior surgery to the lumbar spine. Computer tomography, magnetic resonance imaging (MRI) and MRI myelography in combination are the preoperative investigations of choice. The radiological work-up can be preoperatively diagnostic and is important in the surgical planning.

Conclusions

The treatment is surgicel removal and the decision to treat is based on patient symptoms and correlating these with imaging. There is an average reported follow-up of 1.7 years postoperatively for these patients and the reported outcome after surgery is good.

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Acknowledgments

We would like to record our appreciation to Mrs Suneet D Sidhu for editing the grammar in the text.

Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Division of Neurosurgery, University of Malaya, Kuala Lumpur, Malaysia

    Sverre F. Narverud, Hari Chandran & Dharmendra Ganesan

  2. University of Malaya Research Imaging Centre, Kuala Lumpur, Malaysia

    Norlisah B. M. Ramli

Authors
  1. Sverre F. Narverud
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  2. Norlisah B. M. Ramli
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  3. Hari Chandran
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  4. Dharmendra Ganesan
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Correspondence to Sverre F. Narverud.

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Narverud, S.F., Ramli, N.B.M., Chandran, H. et al. Calcified pseudomeningocele of the lumbar spine: a review. Eur Spine J 22 (Suppl 3), 443–449 (2013). https://doi.org/10.1007/s00586-012-2610-7

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  • DOI: https://doi.org/10.1007/s00586-012-2610-7

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