Conservative Management of Pseudomeningocele Secondary to Lumbar Laminectomy: A Case Report

Pseudomeningocele is a rare complication following laminectomy, which can present with various symptoms. This case report aims to highlight the successful conservative management of a patient who developed a pseudomeningocele after lumbar disc herniation surgery. A 41-year-old woman presented with persistent low back pain radiating to both lower limbs after a previous laminectomy surgery. Despite the severity of her pain, there were no signs of neurological deficits. An MRI revealed a pseudomeningocele, indicating a dural leak as a result of the previous surgery. The patient was managed conservatively with pain control, rest, exercises, and physical therapy. Over a 6-week period, her symptoms gradually improved, and at the 12-month follow-up, she reported minimal residual discomfort with no signs of recurrence or neurological deficits. Follow-up MRI performed 1 year postoperatively showed a remarkable reduction in the size of the meningocele compared to the postoperative image. This case report illustrates the successful outcome of conservative management in a patient presenting with a pseudomeningocele following lumbar disc herniation surgery. Early recognition and appropriate management of this complication are vital to prevent potential neurological sequelae. Further studies and continued awareness of conservative management approaches for pseudomeningocele are warranted to establish evidence-based guidelines for patient care.