Seminars in Spine Surgery
Volume 18, Issue 3 , Pages 161-167, September 2006

Presacral Meningocele: Diagnosis and Treatment

  • Daniel Shedid, MD, MSc, FRCS(C)

      Affiliations

    • Centre Hospitalier de l’Université de Montréal, Notre-Dame Hospital–Division of Neurosurgery, Montreal, Quebec, Canada.
  • ,
  • Eric P. Roger, MD, FRCS(C)

      Affiliations

    • The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, Cleveland, OH.
  • ,
  • Edward C. Benzel, MD

      Affiliations

    • The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, Cleveland, OH.
    • Corresponding Author InformationAddress reprint requests to Edward C. Benzel, MD, The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, 9500 Euclid Avenue, S80, Cleveland, OH 44195.

Anterior sacral meningocele is an anomaly most frequently presenting as a presacral mass. It is an extension of the dura mater and arachnoid out of the sacral spinal canal into the retroperitoneal and infraperitoneal space through a congenital defect in the sacrum. Spontaneous rupture with subsequent meningitis is the most frequent and dangerous complication. We summarize the management as well as the surgical approaches described in the literature.

Keywords:  sacral mass , Currarino triad , anterior sacral meningocele

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PII: S1040-7383(06)00047-5

doi:10.1053/j.semss.2006.06.002

Seminars in Spine Surgery
Volume 18, Issue 3 , Pages 161-167, September 2006