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Case Report
Post-traumatic cervical pseudomeningocele: A case report
1 Assistant Professor, Emergency Radiology Department, Ibn Sina University Hospital, Rabat, Morocco
2 Assistant Professor, Radiology Department, Mohamed V Military Hospital, Rabat, Morocco
3 MD, Radiologist, Emergency Radiology Department, Ibn Sina University Hospital, Rabat, Morocco
4 Radiology Professor, Head of Department, Emergency Radiology Department, Ibn Sina University Hospital, Rabat, Morocco
Address correspondence to:
Fatima Zahrae Laamrani
Emergency Radiology Department, Ibn Sina University Hospital, Rabat,
Morocco
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Article ID: 101134Z01FL2020
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Laamrani FZ, Lahkim M, Azdad O, Tilfine C, Jroundi L. Post-traumatic cervical pseudomeningocele: A case report. Int J Case Rep Images 2020;11:101134Z01FL2020.ABSTRACT
Introduction: The traumatic lesions of the brachial plexus mainly are due to stretching, tearing, bruising, or direct sores accentuated by a hematoma or the presence of a foreign body. Stretching of the brachial plexus can lead to avulsion and/or pseudomeningocele.
Case Report: It is a case of a 12-year-old child who was admitted to the emergency room after a public road accident for the management of an open arm fracture, for which he received stabilization by screw plate fixation. Evolution was marked with anesthesia in the area of the musculocutaneous nerve. Magnetic resonance imaging (MRI) showed a left C7 pseudomeningocele with root avulsion. The patient underwent surgery but unfortunately did not recover his neurological deficit. Late electroneuromyography (ENMG) showed distal nerve damages which can explain the failure of surgery.
Conclusion: If MRI distinguishes a preganglionic lesion from proximal postganglionic involvement, it ignores distal lesions. Electroneuromyography and MRI are therefore complementary in the determination of the reversibility or not of lesions of the brachial plexus and in the choice of the most appropriate treatment.
Keywords: Brachial plexus, Electroneuromyography, Magnetic resonance imaging, Pseudomeningocele, Root avulsion
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Author Contributions
Fatima Zahrae Laamrani - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohamed Lahkim - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ouidad Azdad - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Charaf Tilfine - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Laila Jroundi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Fatima Zahrae Laamrani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
