Lateral thoracic meningocele

Case contributed by Dalia Ibrahim

Presentation

Back pain.

Patient Data

Age: 25 years
Gender: Female
mri

Left lateral thoracic meningoceles extending through and widening the left T3-4 down to T7-8 neural exit foramina. The intraspinal component of the meningoceles causes widening of the spinal canal, scalloping of the posterior vertebrae, and displacing the dorsal spinal cord anteriorly.

Case Discussion

The patient was known to have neurofibromatosis.

They are typically associated with neurofibromatosis type I but can rarely occur in isolation. In these patients, they may occur in association with thoracic spine scoliosis.  

When scoliosis/kyphosis is present, the meningocele is located at the apex of the convexity.

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