• Jaims Lim and Richard Berkman.
• Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York at Buffalo, Buffalo, New York, USA. Electronic address: jaimslim@buffalo.edu.
• World Neurosurg. 2018 Dec 1; 120: 244-248.

BackgroundWe present a case report of traumatic pseudomeningocele and a review of the literature and discussion of the neuro-cytoarchitecture to address the disproportionate weakness of extensor neurons seen in the case.Case DescriptionA 42-year old man developed profound hand weakness 21 years after a lumbar spinal fracture. An examination revealed bilateral hand weakness affecting the extensors of the hands. Imaging studies revealed an extensive ventral epidural pseudomeningocele extending from the area of the lumbar spinal fracture to the cervical spine posteriorly displacing the spinal cord and the ventral motor roots.ConclusionsThe patient was successfully treated with a subarachnoid-peritoneal shunt, which completely resolved the epidural pseudomeningocele and resulted in improvement but not resolution of his neurologic deficits.Copyright © 2018 Elsevier Inc. All rights reserved.

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