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Case Reports
Aseptic meningitis after microdiscectomy: description of a case and review of the literature.
- Andrew G Todd, Frank P Cammisa, Andrew Sama, and Federico P Girardi.
- Department of Orthopedic Surgery, Division of Spine Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. agtodd@hotmail.com
- Spine J. 2008 Jul 1;8(4):700-2.
Background ContextAseptic meningitis has rarely been described after spinal surgery. No reports of aseptic meningitis exist after microdiscectomy in the literature.PurposeTo report on a case of aseptic meningitis in a patient after undergoing laminotomy and microdiscectomy at L4-L5.Study Design/SettingCase report.MethodsA case of aseptic meningitis is reported after microdiscectomy at L4-L5 in a 31-year-old man. In this case, a patient underwent L4-L5 laminotomy and microdiscectomy for weakness and pain. He subsequently presented 3 days after with neck pain, photophobia, and fever.ResultsCerebrospinal fluid (CSF) examination subsequently revealed a pattern for aseptic meningitis.ConclusionsPresentation of aseptic meningitis after microdiscectomy is a rare but important diagnosis to consider. Examination of CSF is an important procedure to rule out the more dangerous diagnosis of bacterial meningitis.
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