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Positional Headache and Syncope Associated With a Pseudomeningocele

Positional Headache and Syncope Associated With a Pseudomeningocele Abstract To the Editor.— We studied an unusual complex of symptoms that was coincident with a pseudomeningocele one year after operation for diastematomyelia. Report of a Case.— Diastematomyelia was identified in a 14-year-old girl who had had urinary frequency and sacral pain. The bony spur was removed and associated lipoma transsected where it entered the cord substance. A Silastic dural substitute was sutured over the area of the dural opening. Postoperatively, a small pseudomeningocele was treated with aspiration and local pressure. Within a few weeks, it seemed to resolve.Four months later, she complained of intermittent suboccipital headaches, which always occurred when she was upright, and occasional syncopal episodes when she assumed the upright position. The symptoms remitted spontaneously, only to recur eight months later. They were clearly positional. The headache only occurred and was constant when the patient was upright. It was quickly relieved when she reclined into the recumbent References 1. Burres KP, Conley FK: Progressive neurosurgical dysfunction secondary to postoperative cervical pseudomeningocele in a C-4 quadraplegic : Case report. J Neurosurg 1978;48:289-291.Crossref 2. Cobb C III, Ehni G: Herniation of the spinal cord into an iatrogenic meningocele: Case report . J Neurosurg 1973;39:533-536.Crossref 3. Hyndman OR, Gerber WF: Spinal extradural cysts, congenital and acquired: Report of cases . J Neurosurg 1946; 3:474-486.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Positional Headache and Syncope Associated With a Pseudomeningocele

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1980.00500600084022
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— We studied an unusual complex of symptoms that was coincident with a pseudomeningocele one year after operation for diastematomyelia. Report of a Case.— Diastematomyelia was identified in a 14-year-old girl who had had urinary frequency and sacral pain. The bony spur was removed and associated lipoma transsected where it entered the cord substance. A Silastic dural substitute was sutured over the area of the dural opening. Postoperatively, a small pseudomeningocele was treated with aspiration and local pressure. Within a few weeks, it seemed to resolve.Four months later, she complained of intermittent suboccipital headaches, which always occurred when she was upright, and occasional syncopal episodes when she assumed the upright position. The symptoms remitted spontaneously, only to recur eight months later. They were clearly positional. The headache only occurred and was constant when the patient was upright. It was quickly relieved when she reclined into the recumbent References 1. Burres KP, Conley FK: Progressive neurosurgical dysfunction secondary to postoperative cervical pseudomeningocele in a C-4 quadraplegic : Case report. J Neurosurg 1978;48:289-291.Crossref 2. Cobb C III, Ehni G: Herniation of the spinal cord into an iatrogenic meningocele: Case report . J Neurosurg 1973;39:533-536.Crossref 3. Hyndman OR, Gerber WF: Spinal extradural cysts, congenital and acquired: Report of cases . J Neurosurg 1946; 3:474-486.Crossref

Journal

Archives of Neurology – American Medical Association

Published: Nov 1, 1980

References

  • Progressive neurosurgical dysfunction secondary to postoperative cervical pseudomeningocele in a C-4 quadraplegic
    Burres KP, Conley FK
  • Herniation of the spinal cord into an iatrogenic meningocele: Case report
    Cobb C III, Ehni G
  • Spinal extradural cysts, congenital and acquired: Report of cases
    Hyndman OR, Gerber WF