Pseudomeningocele is a pathological condition deriving from cerebrospinal fluid leak throughout a fissure of the dura mater. The came out fluid is enclosed in a space delimited by the soft tissues. It can be congenital, iatrogenic or traumatic (mainly in brachial plexus injury) and can be often associated with root avulsion, a severe condition which should be aware as soon as possible. The incidence of traumatic pseudomeningocele of this type is 21–57 % . In brachial plexus injury, magnetic resonance (MR) is the gold standard to assess the damage, allowing the visualization of root avulsion and pseudomeningocele . Even high-frequency ultrasound (US) may be used as first line tool in brachial plexus injury, showing data that, in some cases, require a comprehensive assessment through MR [4]. No cases of pseudomeningocele, visualized by US, have so far been reported. We describe two patients with traumatic brachial plexus injury, in whom US showed findings indicating the presence of fluid, close to a cervical root, compatible with pseudomeningocele.
High-resolution ultrasound may depict pseudomeningocele / Coraci, Daniele; Paolasso, Ilaria; Doneddu, Pietro Emiliano; Santilli, Valter; Padua, Luca. - In: NEUROLOGICAL SCIENCES. - ISSN 1590-1874. - STAMPA. - 37:8(2016), pp. 1369-1372. [10.1007/s10072-016-2545-6]
High-resolution ultrasound may depict pseudomeningocele
Coraci, Daniele
;Santilli, Valter;
2016
Abstract
Pseudomeningocele is a pathological condition deriving from cerebrospinal fluid leak throughout a fissure of the dura mater. The came out fluid is enclosed in a space delimited by the soft tissues. It can be congenital, iatrogenic or traumatic (mainly in brachial plexus injury) and can be often associated with root avulsion, a severe condition which should be aware as soon as possible. The incidence of traumatic pseudomeningocele of this type is 21–57 % . In brachial plexus injury, magnetic resonance (MR) is the gold standard to assess the damage, allowing the visualization of root avulsion and pseudomeningocele . Even high-frequency ultrasound (US) may be used as first line tool in brachial plexus injury, showing data that, in some cases, require a comprehensive assessment through MR [4]. No cases of pseudomeningocele, visualized by US, have so far been reported. We describe two patients with traumatic brachial plexus injury, in whom US showed findings indicating the presence of fluid, close to a cervical root, compatible with pseudomeningocele.File | Dimensione | Formato | |
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