Post-operative Giant Pseudomeningocele Following L3-L4 Discectomy: A case report and Literature Review

Authors

DOI:

https://doi.org/10.3126/njn.v22i3.77804

Keywords:

Pseudomeningocele, Lumbar spine surgery, duroplasty

Abstract

After Lumbar spine surgery many of the patients improve but few develop post-operative lumbar giant pseudomeningocele causing symptomatic trouble in rare cases. In our case a 21-year-old male who was operated in other hospital for symptomatic Prolapsed lumber intervertebral Disc where microdiscectomy was done. After 5 months he developed  symptomatic pseudomeningocele over the operative scar area, confirmed by clinical examination and Imaging.  Due to headache and annoyable swelling in the lower back, L3-L4 Laminectomy with duroplasty with dural sealant fibrin glue with Lumbar drain was performed. His post operative period was uneventful, His giant pseudomeningocele resolved and he was discharged on 11th post-operative day. 

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Author Biographies

Nikunja Yogi, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences

MBBS,MS,MCH 

Head and Consultant Neurosurgeon

Department of Neurosurgery 

Suraj Thulung, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences

Consultant Neurosurgeon

UDM-NINAS

Pratyush Shrestha, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences

Consultant Neurosurgeon, UDM-NINAS

Suresh Bishokarma, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences

Consultant Neurosurgeon, UDM-NINAS

Sagar Koirala, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences

Consultant Neurosurgeon

UDM-NINAS

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Published

2025-12-10

How to Cite

Subedi, R. P., Yogi, N., Thulung, S., Shrestha, P., Bishokarma, S., & Koirala, S. (2025). Post-operative Giant Pseudomeningocele Following L3-L4 Discectomy: A case report and Literature Review. Nepal Journal of Neuroscience, 22(3), 60–63. https://doi.org/10.3126/njn.v22i3.77804

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Section

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