Article Dans Une Revue Cureus Journal of Medical Science Année : 2024

Successful Management of Multiple Giant Anterior Sacral Meningoceles Through an Anterior Approach in a Patient With Marfan Syndrome: A Case Report and Literature Review

Anis Choucha
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Sacha Tomczak
  • Fonction : Auteur
Nicolo Norri
  • Fonction : Auteur
Jean Hardwigsen
  • Fonction : Auteur
Henry Dufour
  • Fonction : Auteur

Résumé

Meningoceles refer to the protrusion of meninges filled with cerebrospinal fluid (CSF) through a bone defect. There is scarce literature on the management of multiple giant anterior sacral meningoceles (ASMs). We report the case of a patient with Marfan syndrome presenting with gait disturbances and dizziness triggered by posture changes due to multiple giant ASMs. The patient was managed through an anterior approach involving a multidisciplinary team of surgeons. Care was taken to limit the persistence of CSF leak using an omental pedicled flap. This technique has only been mentioned twice in the literature for such cases. A literature review was conducted focusing on the evolution course and surgical strategy of meningoceles.

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hal-04955764 , version 1 (19-02-2025)

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Anis Choucha, Sacha Tomczak, Nicolo Norri, Jean Hardwigsen, Henry Dufour. Successful Management of Multiple Giant Anterior Sacral Meningoceles Through an Anterior Approach in a Patient With Marfan Syndrome: A Case Report and Literature Review. Cureus Journal of Medical Science, 2024, ⟨10.7759/cureus.52724⟩. ⟨hal-04955764⟩
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