Early Identification of XXXX Associated with @entity3029 May Prevent Retropharyngeal Pseudomeningocele Development.

@entity1 @entity2244 @entity425 @entity130 @entity3029
@entity3029 can be complicated by a traumatic durotomy that may lead to the rare development of a retropharyngeal pseudomeningocele. To our knowledge this has been reported only five times previously. We present the case of a 60-year-old @entity1 involved in a motor vehicle accident who suffered an @entity3029 and @entity2244 . A unique MRI image of a defect in the ventral dura posterior to C2 was appreciated. He underwent occiput to T2 internal fixation and arthrodesis. During surgery, CSF egress was seen caudal to the right C2 nerve root. A DuraMatrix onlay patch reinforced with DuraSeal was placed to stop the CSF leak. A lumbar subarachnoid drain was also placed. The @entity1 made a satisfactory recovery with residual mild @entity425 of his right upper extremity. In this report, we demonstrate that careful MRI review can reveal a ventral durotomy in a @entity130 and, if discovered, effective treatment including a lumbar subarachnoid drain for CSF diversion may prevent progression to a retropharyngeal pseudomeningocele. The literature on this rare presentation and associated durotomy is provided.
