Korean J Pain.  2006 Dec;19(2):249-252. 10.3344/kjp.2006.19.2.249.

Clinical Experience of Pain Management for Postlaminectomy Syndrome due to Pseudomeningocele: A case report

• Cho HR
• Han SJ
• Park SC
• Kwon YE
• Lee JH

• KMID: 2073940
• DOI: http://doi.org/10.3344/kjp.2006.19.2.249

Abstract

Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.

Keyword

postlaminectomy syndrome; pseudomeningocele; selective transforaminal epidural block

MeSH Terms

Cerebrospinal Fluid
Humans
Leg
Low Back Pain
Pain Management*
Radiculopathy
Spine