• Robert Y North, Terence Verla, Erica Bartlett, Edward Reece, Howard L Weiner, and Alexander E Ropper.
• Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA. Electronic address: north@bcm.edu.
• World Neurosurg. 2020 Feb 1; 134: 532-535.

BackgroundAn expanding cohort of patients with spina bifida live well into adulthood and pose complex management challenges due to unique combinations of adult health issues overlying congenital problems.Case DescriptionWe present a case of a 45-year-old woman with an expanding, disfiguring, painful lumbar meningocele more than 40 years after her only surgery as a 3-year-old child. A team of pediatric and adult neurosurgeons as well as plastic/reconstructive surgeons successfully performed surgery to obliterate the meningocele, with preservation of her baseline functional status, and no evidence of recurrence after more than 1 year of follow-up.ConclusionsSymptomatic meningocele may present in a long-delayed fashion in adult patients with a history of spina bifida. Surgical treatment may provide symptomatic benefit.Copyright © 2019 Elsevier Inc. All rights reserved.

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