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Giant Thoracic Meningocele Causing Acute Respiratory Compromise

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DOI: 10.4236/ojmn.2013.34017    2,338 Downloads   3,819 Views  

ABSTRACT

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

A. Yurter and P. Kaloostian, "Giant Thoracic Meningocele Causing Acute Respiratory Compromise," Open Journal of Modern Neurosurgery, Vol. 3 No. 4, 2013, pp. 94-97. doi: 10.4236/ojmn.2013.34017.

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