2021
DOI: 10.3171/case21404
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Surgical repair of a large intrathoracic meningocele associated with neurofibromatosis type 1 after failed cystoperitoneal shunts: illustrative case

Abstract: BACKGROUND Surgical treatment of intrathoracic meningoceles, commonly associated with neurofibromatosis type 1 (NF1), aims to reduce sac size for symptomatic relief. The procedures can be divided into cerebrospinal fluid diversion and definitive repair. The authors describe the management of an intrathoracic meningocele in a 56-year-old female with preexisting NF1. OBSERVATIONS The patient presented with progressive dyspnea. Magnetic resonance imaging revealed a left hemithoracic meningocele arising from the… Show more

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Cited by 3 publications
(7 citation statements)
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“…Surgery is the primary method for fully addressing intrathoracic meningocele in individuals with NF-1, necessitating collaboration across multiple disciplines. The specific surgical approach is determined by factors such as the size of the meningocele, extent of spinal deformity, and overall medical conditions [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Surgery is the primary method for fully addressing intrathoracic meningocele in individuals with NF-1, necessitating collaboration across multiple disciplines. The specific surgical approach is determined by factors such as the size of the meningocele, extent of spinal deformity, and overall medical conditions [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
“…Vertebral resection 2. Meningeal resection and repair - Died of pneumonia 3 months later 2021 [ 6 ] 56/F Twice CP Dyspnea Single on the left / 9.9 × 12.5 × 18.3 Spinal deformity / C7-T2 1. Thoracotomy and transection of T2-T3 ribs 2.…”
Section: Discussionmentioning
confidence: 99%
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“…1,2,[8][9][10] These pathologies are challenging to treat, and, in reported cases, treatment has included shunting of the meningocele, isolated resection and repair of the myelomeningocele or meningocele without deformity correction, or isolated deformity correction without myelomeningocele or meningocele repair. 1,2,4,11,12 Here, we describe an anterior-posterior approach for both resection of an anterior cervicothoracic myelomeningocele and major correction of the associated scoliotic deformity in a nonsyndromic patient with multilevel skeletal dysplasia and progressive symptoms from a tethered spinal cord.…”
mentioning
confidence: 99%