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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Traumatic meningocele
- Pseudomeningocele
Definitions
- Traumatically acquired dural defect, with CSF leak ± pseudomeningocele
- Different from chronic leaks as in spontaneous intracranial hypotension (dural defect, CSF-venous fistula)
- Traumatically acquired dural defect, with CSF leak ± pseudomeningocele
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Clifton WE et al: Delayed myelopathy in patients with traumatic preganglionic brachial plexus avulsion injuries. World Neurosurg. 122:e1562-9, 2019
- Lee MJ et al: CSF flow jet: novel CT myelogram finding of CSF leak through dural tear in traumatic pseudomeningocele. Clin Imaging. 61:33-5, 2019
- Kareem H et al: Case series of posterior instrumentation for repair of burst lumbar vertebral body fractures with entrapped neural elements. J Spine Surg. 4(2):374-82, 2018
- Luszczyk MJ et al: Traumatic dural tears: what do we know and are they a problem? Spine J. 14(1):49-56, 2014
- Hoxworth JM et al: The role of digital subtraction myelography in the diagnosis and localization of spontaneous spinal CSF leaks. AJR Am J Roentgenol. 199(3):649-53, 2012
- Seo BR et al: An unusual stab wound causing a traumatic pseudomeningocele at the craniocervical junction. J Clin Neurosci. 16(10):1365-7, 2009
- Yokota H et al: Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report. Neurosurgery. 60(1):E205; discussion E205, 2007
- Horn EM et al: Spinal cord compression from traumatic anterior cervical pseudomeningoceles. Report of three cases. J Neurosurg Spine. 5(3):254-8, 2006
- Sasaka KK et al: Lumbosacral nerve root avulsions: MR imaging demonstration of acute abnormalities. AJNR Am J Neuroradiol. 27(9):1944-6, 2006
- Kraemer N et al: Intrathecal gadolinium-enhanced MR myelography showing multiple dural leakages in a patient with Marfan syndrome. AJR Am J Roentgenol. 185(1):92-4, 2005
- Aydinli U et al: Dural tears in lumbar burst fractures with greenstick lamina fractures. Spine. 26(18):E410-5, 2001
- Carl AL et al: Anterior dural laceration caused by thoracolumbar and lumbar burst fractures. J Spinal Disord. 13(5):399-403, 2000
- Johnson JP et al: Traumatic lumbar pseudomeningocele occurring with spina bifida occulta. J Spinal Disord. 11(1):80-3, 1998
- Pau A et al: Can lacerations of the thoraco-lumbar dura be predicted on the basis of radiological patterns of the spinal fractures? Acta Neurochir (Wien). 129(3-4):186-7, 1994
- Maillard JC et al: Imaging in the exploration of lumbosacral plexus avulsion. Two cases. J Neuroradiol. 19(1):38-48, 1992
- Denis F et al: Diagnosis and treatment of cauda equina entrapment in the vertical lamina fracture of lumbar burst fractures. Spine. 16(8 Suppl):S433-9, 1991
- Silvestro C et al: On the predictive value of radiological signs for the presence of dural lacerations related to fractures of the lower thoracic or lumbar spine. J Spinal Disord. 4(1):49-53, 1991
- Suh PB: Dural laceration occurring with burst fractures and associated laminar fractures. J Bone Joint Surg Am. 73(2):314, 1991
- Cammisa FP Jr et al: Dural laceration occurring with burst fractures and associated laminar fractures. J Bone Joint Surg Am. 71(7):1044-52, 1989
- Verstraete KL et al: Traumatic lumbosacral nerve root meningoceles. The value of myelography, CT and MRI in the assessment of nerve root continuity. Neuroradiology. 31(5):425-9, 1989
- Brant-Zawadzki M et al: High resolution CT of thoracolumbar fractures. AJR Am J Roentgenol. 138(4):699-704, 1982
- Deans W et al: Cerebrospinal fluid hypotension secondary to traumatic rupture of lumbosacral meninges. Surg Neurol. 12(3):223-6, 1979
- Barberá J et al: Traumatic lumbosacral meningocele. Case report. J Neurosurg. 46(4):536-41, 1977
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Traumatic meningocele
- Pseudomeningocele
Definitions
- Traumatically acquired dural defect, with CSF leak ± pseudomeningocele
- Different from chronic leaks as in spontaneous intracranial hypotension (dural defect, CSF-venous fistula)
- Traumatically acquired dural defect, with CSF leak ± pseudomeningocele
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Clifton WE et al: Delayed myelopathy in patients with traumatic preganglionic brachial plexus avulsion injuries. World Neurosurg. 122:e1562-9, 2019
- Lee MJ et al: CSF flow jet: novel CT myelogram finding of CSF leak through dural tear in traumatic pseudomeningocele. Clin Imaging. 61:33-5, 2019
- Kareem H et al: Case series of posterior instrumentation for repair of burst lumbar vertebral body fractures with entrapped neural elements. J Spine Surg. 4(2):374-82, 2018
- Luszczyk MJ et al: Traumatic dural tears: what do we know and are they a problem? Spine J. 14(1):49-56, 2014
- Hoxworth JM et al: The role of digital subtraction myelography in the diagnosis and localization of spontaneous spinal CSF leaks. AJR Am J Roentgenol. 199(3):649-53, 2012
- Seo BR et al: An unusual stab wound causing a traumatic pseudomeningocele at the craniocervical junction. J Clin Neurosci. 16(10):1365-7, 2009
- Yokota H et al: Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report. Neurosurgery. 60(1):E205; discussion E205, 2007
- Horn EM et al: Spinal cord compression from traumatic anterior cervical pseudomeningoceles. Report of three cases. J Neurosurg Spine. 5(3):254-8, 2006
- Sasaka KK et al: Lumbosacral nerve root avulsions: MR imaging demonstration of acute abnormalities. AJNR Am J Neuroradiol. 27(9):1944-6, 2006
- Kraemer N et al: Intrathecal gadolinium-enhanced MR myelography showing multiple dural leakages in a patient with Marfan syndrome. AJR Am J Roentgenol. 185(1):92-4, 2005
- Aydinli U et al: Dural tears in lumbar burst fractures with greenstick lamina fractures. Spine. 26(18):E410-5, 2001
- Carl AL et al: Anterior dural laceration caused by thoracolumbar and lumbar burst fractures. J Spinal Disord. 13(5):399-403, 2000
- Johnson JP et al: Traumatic lumbar pseudomeningocele occurring with spina bifida occulta. J Spinal Disord. 11(1):80-3, 1998
- Pau A et al: Can lacerations of the thoraco-lumbar dura be predicted on the basis of radiological patterns of the spinal fractures? Acta Neurochir (Wien). 129(3-4):186-7, 1994
- Maillard JC et al: Imaging in the exploration of lumbosacral plexus avulsion. Two cases. J Neuroradiol. 19(1):38-48, 1992
- Denis F et al: Diagnosis and treatment of cauda equina entrapment in the vertical lamina fracture of lumbar burst fractures. Spine. 16(8 Suppl):S433-9, 1991
- Silvestro C et al: On the predictive value of radiological signs for the presence of dural lacerations related to fractures of the lower thoracic or lumbar spine. J Spinal Disord. 4(1):49-53, 1991
- Suh PB: Dural laceration occurring with burst fractures and associated laminar fractures. J Bone Joint Surg Am. 73(2):314, 1991
- Cammisa FP Jr et al: Dural laceration occurring with burst fractures and associated laminar fractures. J Bone Joint Surg Am. 71(7):1044-52, 1989
- Verstraete KL et al: Traumatic lumbosacral nerve root meningoceles. The value of myelography, CT and MRI in the assessment of nerve root continuity. Neuroradiology. 31(5):425-9, 1989
- Brant-Zawadzki M et al: High resolution CT of thoracolumbar fractures. AJR Am J Roentgenol. 138(4):699-704, 1982
- Deans W et al: Cerebrospinal fluid hypotension secondary to traumatic rupture of lumbosacral meninges. Surg Neurol. 12(3):223-6, 1979
- Barberá J et al: Traumatic lumbosacral meningocele. Case report. J Neurosurg. 46(4):536-41, 1977
