Bilateral Multiple Level Lateral Meningocoele
A 23-year-old female patient presented with 6-month history of low back pain and associated spine deformity. On neurological examination higher mental functions, cranial nerves, motor, and sensory systems were normal. There were no focal neurological deficits. Bowel and bladder functions were normal. Her spinal column appeared kyphotic. Patient stature is normal without any skin lesions. No features of either Marfan's syndrome or Neurofibromatosis Type I were noted. Routine laboratory investigations including hemoglobin (10.6 g%) and routine urine microscopy were within normal limits. A whole spine magnetic resonance imaging (MRI) showed well-defined multiple cystic masses involving dorsal, lumbar, and sacral spinal levels. These multiple cystic lesions are hypointense on T1-weighted images and hyperintense on T2-weighted images, which is similar to cerebrospinal fluid (CSF) signals. In addition, there was dural ectasia and neural foraminal widening [Figures and ]. There was low-lying position of the cord but roots were unremarkable. The findings were suggestive of multiple level lateral meningocoele. The patient was managed with analgesics and regular physiotherapy and is under regular follow-up and observation.