OJMN  Vol.3 No.4 , October 2013
Giant Thoracic Meningocele Causing Acute Respiratory Compromise
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.

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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