Lateral meningocele syndrome

Dr Henry Knipe and Dr Angel Donato et al.

The lateral meningocele syndrome is an extremely rare hereditary connective tissue disorder characterized by multiple lateral lumbar meningoceles, distinctive facial features, joint hypermobility, hypotonia, skeletal abnormalities, congenital cardiovascular malformations, urogenital anomalies and neurologic findings 1.

Lateral meningocele syndrome is inherited in an autosomal dominant manner as a result of a de-novo NOTCH3 pathogenic variant 1-2.

Lateral meningoceles are comprised by protrusion of the arachnoid and dura through the foramina and represent the severe and extreme of the dural ectasia spectrum 5.

Lateral meningocele syndrome typically manifests as extensive but asymmetric lateral lumbar meningoceles involving the neural foramina and paraspinal soft tissues with associated extensive remodelling of the neural arches, articular pillar and neural foramina as well as some degree of scalloping of the posterior surface of the involved segments. Intradural compartments in the interior of the spinal canal produce asymmetric extrinsic distortion, displacement or compression to the spinal cord.

Symptomatic treatment for lateral meningoceles may require surgical intervention in large lesions.

Lateral meningocoele syndrome was first described in 1977 by Lehman et al 4.

The main differential diagnosis is that of other connective tissue disorders which have meningoceles. These include: 

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Article information

rID: 48201
Section: Syndromes
Tag: cases
Synonyms or Alternate Spellings:
  • Lateral lumbar meningocoele
  • Lateral meningocoele syndrome (LMS)
  • Lehman syndrome

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