Journal Information
Vol. 27. Issue 4.
Pages 194-198 (July - August 2016)
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Vol. 27. Issue 4.
Pages 194-198 (July - August 2016)
Caso clínico
Diagnóstico simultáneo de pseudomeningocele, síndrome de médula anclada y fístula de líquido cefalorraquídeo: a propósito de un caso
Simultaneous diagnosis of pseudomeningocele, tethered cord syndrome and cerebrospinal fluid fistula: Report of a case
Javier Quillo-Olveraa,
Corresponding author
a_i_o_n@hotmail.com

Autor para correspondencia.
, Luis E. Zambrano-Velardeb, Héctor Velázquez-Santanab, Carlos F. Gutiérrez-Partidaa, Francisco Velázquez-Garcíab, Leopoldo A. Alcántara-Gómezb
a Instituto Soriano de Cirugía de Columna Mínimamente Invasiva, Centro Médico ABC, Campus Santa Fe, México, D.F., México
b Servicio de Neurocirugía, Hospital Regional Dr. Valentín Gómez Farías, Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado, Jalisco, México
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Resumen

El caso clínico alude a una paciente con disrafismo sacro extenso, antecedentes de reparación de mielomeningocele en su infancia y signos y síntomas de síndrome de médula anclada. Se diagnosticó además pseudomeningocele y fístula de líquido cefalorraquídeo cutánea. El abordaje quirúrgico fue realizado con resultados alentadores en la evolución de la paciente. Se realizó además una revisión de la literatura, para fundamentar el tratamiento quirúrgico utilizado en este caso.

Palabras clave:
Fístula de líquido cefalorraquídeo
Pseudomeningocele
Síndrome de médula anclada
Mielomeningocele
Disrafismo espinal
Cirugía espinal
Abstract

The clinical case is presented on a patient with an extensive sacral dysraphism, a history of myelomeningocele surgical repair in her childhood, as well as tethered cord syndrome. The patient was also diagnosed with pseudomeningocele and a cerebrospinal fluid cutaneous fístula. A surgical approach was used, with encouraging results being obtained in the clinical outcome of the patient. A review of the literature was performed to support the surgical decision in this case.

Keywords:
Cerebrospinal fluid fistula
Pseudomeningocele
Tethered cord syndrome
Myelomeningocele
Spinal dysraphism
Spinal surgery

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