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Six weeks after laminectomy, MRI shows a 9 cm pseudo meningocele coupled with head and eye pains, left leg nerve pain. Surgery to repair or wait?
Pseudomeningocoele: You a loosing CSF that will cause low pressure HA. The hole in your meninges probable needs a patch to prevent this. Possibilities of spontaneous closure seem limited. Get a second opinion, from a different clinic or out of town if your surgeon is reluctant to fix it. ...Read more
Not just one cause: A meningocele is related to spina bifida-a neural tube defect that occurs during the first trimester formation of the brain and spinal cord. Sometimes this may be due to a deficiency of Folic Acid or genetically determined (including spontaneous mutations). This incidence of recurrent spina bifida goes down with supplemental Folic Acid as supervised by an obstetrician. ...Read more
Multifactorial: Meningoceles fall under a broad category of congenital anomalies called "neural tube defects" "spina bifida" or "split spine" in which the bony spine doesn't fully form over the cord. Can be associated with family history, obesity, diabetes, folate (folic acid) deficiency, high temperature exposure in early pregnancy, use of some anti-seizure medications, a previous history of the same. ...Read more
Unsure: I'm not sure if there's a question here or if you're talking about the three of these together. If so, it would be a very difficult situation to treat. If you have a specific question, please re-send. ...Read more
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