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CASE REPORT
Year : 2021  |  Volume : 16  |  Issue : 2  |  Page : 372-375

Spontaneous resolution of postoperative giant frontal pseudomeningocele


1 Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue; Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
2 Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
3 Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue; Vietnam; Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada

Correspondence Address:
Van Tri Truong
Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam; Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_18_21

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Cranial pseudomeningoceles are abnormal extradural collections of cerebrospinal fluid. Postoperative giant cranial pseudomeningoceles have been rarely reported in the literature and have no specific treatment guidelines. The optimal management strategy for this condition differs among authors, varying from conservative approach to surgical intervention. A spontaneous resolution of postoperative giant frontal pseudomeningocele is reported. A 41-year-old female presented a pseudomeningocele 3 weeks after a right frontal meningioma surgical resection. The pseudomeningocele progressed during the first 1.5-month postoperatively despite percutaneous aspiration and compressive bandage, it then shrank spontaneously and was completely resolved at the 15th month since the surgery. Nonoperative treatment with a close follow-up could be a good option for asymptomatic giant pseudomeningoceles, resulting in a spontaneous resolution.


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