1/11. Open thoracic meningocele associated with amniotic band syndrome.We present a case of an infant born with an open thoracic meningocele secondary to an amniotic band. Although there have been several case reports of encephalocele, anencephaly, closed meningocele and a case of tethered cord associated with amniotic band syndrome (ABS), there has yet to be a report of an open meningocele associated with ABS. The patient remained neurologically intact after the repair of his meningocele. His postoperative course was complicated by meningitis with subsequent hydrocephalus necessitating ventriculoperitoneal shunt placement.- - - - - - - - - - ranking = 1keywords = meningocele (Clic here for more details about this article) |
2/11. paraparesis after excision of intrathoracic meningoceles in a patient with neurofibromatosis.Intrathoracic meningocele associated with neurofibromatosis is a rarity. We treated a 16-year-old boy with neurofibromatosis, marked kyphoscoliosis, and two right-sided intrathoracic meningoceles. Because his chief complaints of cough and chest pain were thought to be caused by the meningoceles, resection of these lesions was performed prior to correction of the spinal deformity. On the day after the resection, complete paraplegia developed, followed by recovery to paraparesis. Decompressive lumbar puncture was performed, but intraspinal pressure was normal. Postoperative spinal cord damage and consequent paresis may have resulted from a loss of pressure buffering by the meningocele, which rendered the cord vulnerable to injury. The possibility of a similar unusual complication should be borne in mind when treating patients with intrathoracic meningocele associated with neurofibromatosis.- - - - - - - - - - ranking = 1.125keywords = meningocele (Clic here for more details about this article) |
3/11. Intrathoracic omental herniation through the esophageal hiatus: a case report.A case of paraesophageal omental herniation in a 74-year-old man is reported. Although computed tomography (CT) and magnetic resonance imaging (MRI) depicted a retrocardiac fatty mass that resembled omental herniation, residual concern remained regarding lipomatous tumor. angiography provided decisive evidence of a mass containing omental vessels passing through the esophageal hiatus, which led to the final diagnosis. The patient underwent a strict course of observation, because he had no symptoms or abnormal physical or laboratory findings. Paraesophageal omental herniation mimics lipomatous tumors, such as lipoma or well-differentiated liposarcoma, extending to both sides of the diaphragm. Correct diagnosis of omental herniation requires the evidence of omental fat accompanied with omental vessels passing through the esophageal hiatus. Since angiography is an invasive diagnostic procedure, we would recommend dynamic MRI or reconstructed 3D MR angiography as alternatives to angiography.- - - - - - - - - - ranking = 0.14497933743238keywords = herniation (Clic here for more details about this article) |
4/11. Resolution of Chiari malformation after repair of a congenital thoracic meningocele: case report and literature review.OBJECTIVE AND IMPORTANCE: Many theories have been proposed regarding potential causative factors for Chiari malformations. An unusual case is described in which regression of a congenital Chiari malformation was observed after repair of a thoracic meningocele without direct surgical intervention to decompress the craniocervical junction. This supports the importance of an in utero craniospinal pressure gradient as a potential cause for congenital, but reversible, cerebellar herniation. CLINICAL PRESENTATION: A newborn baby was observed to have a thoracic meningocele. magnetic resonance imaging scan revealed a concomitant Chiari malformation. No neurological deficits were present at initial examination. INTERVENTION: The patient underwent surgical closure of the thoracic meningocele and untethering of the spinal cord at the site of the dural defect. A postoperative magnetic resonance imaging scan obtained 3 months after the operation revealed complete resolution of the cerebellar herniation. CONCLUSION: The resolution of the Chiari malformation in this child may have resulted from restoration of normal cerebrospinal fluid flow and elimination of the meningocele-related cerebrospinal fluid pressure gradient between the intracranial and intraspinal compartments.- - - - - - - - - - ranking = 1.0362448343581keywords = meningocele, herniation (Clic here for more details about this article) |
5/11. Intrathoracic giant meningocele developing hydrothorax: a case report.A 67-year-old woman with neurofibromatosis type 1 presented with progressive dyspnea. Radiologic evaluation and magnetic resonance imaging revealed progression of a giant meningocele associated with hydrothorax. Laminoplasty with incision of the meningocele and dural plasty was performed, although nerve rootlets were killed. Microsurgical incision of the neck of the meningocele is a favorable operation even in large meningoceles such as the present case.- - - - - - - - - - ranking = 1keywords = meningocele (Clic here for more details about this article) |
6/11. Sudden cardiac herniation 6 months after right pneumonectomy.Cardiac herniation is a rare complication of intrapericardial pneumonectomy and has a high mortality. The condition has been reported only within 24 hours after surgery. In this report, a case is described in which a total cardiac herniation took place 6 months after right intrapericardial pneumonectomy. The patient presented with an acute vena cava superior syndrome and underwent thoracotomy to reposition the heart into the pericardial sac and to close the pericardium with a patch.- - - - - - - - - - ranking = 0.10873450307428keywords = herniation (Clic here for more details about this article) |
7/11. Intrathoracic testicular ectopia in congenital diaphragmatic hernia.Congenital diaphragmatic hernia (CDH) is a defect in the diaphragm through which intra-abdominal and retroperitoneal organs may pass. However, the presence of the testis in the thoracic cavity is rare. Here, we describe a case of left-sided Bochdalek CDH with herniation of the left testis through the defect into the thorax, which was managed successfully by primary orchiopexy.- - - - - - - - - - ranking = 0.018122417179047keywords = herniation (Clic here for more details about this article) |
8/11. meconium thorax.A case of meconium thorax resulting from spontaneous perforation of the colon associated with a right Bochdalek's foramen, without herniation, is presented. The baby had immediate respiratory distress postpartum resulting from the meconium in the pleural cavity. No fetal distress was detected, in spite of electrode monitoring in labor, to account for the colonic perforation.- - - - - - - - - - ranking = 0.018122417179047keywords = herniation (Clic here for more details about this article) |
9/11. Intrathoracic meningocele: a report of two cases.Two cases of intrathoracic meningocele are reported: their association with neurofibromatosis is stressed. The likelihood of a posterior mediastinal mass occurring in a patient with neurofibromatosis being a meningocele is emphasised. A review of the literature is presented. In view of the relatively few cases of intrathoracic meningocele with neurofibromatosis documented since 1933, we feel justified in reporting these 2 cases.- - - - - - - - - - ranking = 0.875keywords = meningocele (Clic here for more details about this article) |
10/11. Cervico-thoracic neurenteric cyst: clinicoradiological correlation with embryogenesis.Two cases of cervico-dorsal neurenteric cysts are presented, one located dorsal and the other ventral to the spinal cord, with associated Klippel-Feil anomaly, meningocele, spinal dysraphism and possibly spinal cord malformation. One patient was operated on as a neonate for a cervico-thoracic meningocele and presented during adolescence with spastic quadriparesis. Imaging revealed spina bifida, a dorsally located neurenteric cyst and a tendency towards split cord malformation. The other child presented with cervico-thoracic kyphoscoliosis and paraparesis. Imaging demonstrated persistence of a cervico-thoracic remnant of the primitive neurenteric canal through the upper thoracic spine.- - - - - - - - - - ranking = 0.25keywords = meningocele (Clic here for more details about this article) |
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