Rakesh Gupta - MD, Professor, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India
Sharadendu Narayan - MD, MCh Resident, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India

Background and Importance: Pseudomeningocele is a rare complication of spine surgery, and it is the collection of cerebrospinal fluid inparaspinal tissues. Giant pseudomeningoceles are still rare, and very few cases have been reported in literature. It is usually occult in presentation,and patients do not have any symptoms ascribable to it.Case Presentation: We came across two symptomatic patients with post laminectomy pseudomeningoceles in past one year at our institution. Thepatients were managed with surgical closure of the dural defect. Both patients were asymptomatic post-operatively and doing well on follow up.Conclusion: Reappearance of neurological symptoms in a patient undergoing spine surgery previously needs careful evaluation. Rarely thesymptoms of failed back surgery are seen to be arising due to a pseudomeningocele.

Pseudomeningocele; Incidental Durotomy; Laminectomy; Failed Back Syndrome