Giant Thoracic Meningocele Causing Acute Respiratory Compromise

• 作者: Alp Yurter Paul E. Kaloostian
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: GIANT THORACIC MENINGOCELE INTRATHORACIC Cerebrospinal Fluid (CSF) Ventriculoperitoneal (VP) Shunt RESPIRATORY COMPROMISE Neurofibromatosis Type I (NF-I)
• 年，卷（期）: xdsjwkxjzyw_2013,（4）
• 页码范围: 94-97
• 页数: 4页
• 分类号: R73

摘要

Objective: The authors report a rare case of giant thoracic meningocele causing acute respiratory compromise, treated with a ventriculoperitoneal shunt. Case Report: We report the case of a 36-year-old with severe scoliosis status post repair over a decade ago, neurofibromatosis type I, and a known large meningocele in the left thoracic cavity, presenting with new acute respiratory compromise. She was taken to the operating room for a lumboperitoneal shunt, but the operation was aborted due to her severe spinal deformity. Two days later, she successfully underwent a procedure for ventriculoperitoneal shunt placement. Upon discharge a week later, the patient was hemodynamically stable, able to move all extremities with good strength, and demonstrated improved oxygenation. In the following 7 months, the patient demonstrated continued minimal requirement on nasal cannula, and MRI showed a stable left thoracic giant meningocele. Conclusion: Ventriculoperitoneal shunting is a method of treating and stabilizing acutely symptomatic giant meningoceles.