AJNN
Academic Journal of Neuropsychiatry and Neuropsychology

Academic Journal of Neuropsychiatry and Neuropsychology (formerly known as the Academic Journal of Neurology and Neurosurgery, e-ISSN:3023-6517), deals with neurology, neurosurgery, psychiatry and clinical psychology accepts articles on these topics. Academic Journal of Neuropsychiatry and Neuropsychology publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3108-8171
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Case Report
Lateral meningocele syndrome in a Nigerian child: a case report and literature review
Abstract
Lateral meningocele syndrome is a very rare neurosurgical disorder characterized by the presence of multiple lateral thoracolumbar spinal meningoceles. Very few cases have been reported in literature and as such there are no standard management protocols and treatment is still fraught with several controversies. We present a 2-year-old girl with a 16-month history of progressive abdominal distention associated with occasional abdominal pain. Thoracoabdominal magnetic resonance imaging showed a huge left-sided cystic intra-abdominal mass lesion with a fistulous connection to the spinal subarachnoid space at the level of the third lumbar (L3) vertebra and other smaller cystic thoracolumbar lateral meningoceles. She had L3,L4 left hemi-laminectomy, decompression of the cyst and obliteration duroplasty to close the fistulous connection. Post-operative period was however complicated by cyst re-accumulation, pseudomeningocele and meningitis. Follow-up neuroimaging revealed hydrocephalus necessitating ventriculoperitoneal shunt insertion. This case highlights a very rare congenital anomaly and the attendant diagnostic and management challenges.

Keywords : Lateral meningocele syndrome, obliteration duroplasty, pseudomeningocele, cerebrospinal fluid

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1. Alves D, Sampaio M, Figueiredo R, Leão M. Lateral meningocele syndrome: additional report and further evidence supporting a connective tissue basis. Am J Med Genet A. 2013;161A(7):1768-1772. doi:10.1002/ajmg.a.35968
2. Han Y, Chen M, Wang H. Management of lateral meningocele syndrome in a child without neurological symptoms and literature review. Childs Nerv Syst. 2022;38(5):903-907. doi:10.1007/s00381-022-05466-y
3. Brown EC, Gupta K, Sayama C. Neurosurgical management in lateral meningocele syndrome: case report. J Neurosurg Pediatr. 2017;19(2):232-238. doi:10.3171/2016.9.PEDS16311
4. Cappuccio G, Apuzzo D, Alagia M, et al. Expansion of the phenotype of lateral meningocele syndrome. Am J Med Genet A. 2020;182(5):1259-1262. doi:10.1002/ajmg.a.61536
5. Panil Kumar BE, Hegde K, Kumari G, Agrawal A. Bilateral multiple level lateral meningocoele. J Clin Imaging Sci. 2013;3(1):1-3. doi:10.4103/ 2156-7514.106613
6. Mushtaq G, Hussain I, Khan JA, Kamal MA. Lateral meningocele with asymmetric canal stenosis: a case study. Saudi J Biol Sci. 2015;22(1):102-105. doi:10.1016/j.sjbs.2014.09.001
7. Seddighi A, Seddighi AS. Lateral sacral meningocele presenting as a gluteal mass: a case report. J Med Case Rep. 2010;4:2-7. doi:10.1186/1752-1947-4-81
8. Reis C, Carneiro E, Fonseca J, et al. Epithelioid hemangioendothelioma and multiple thoraco-lumbar lateral meningoceles: two rare pathological entities in a patient with NF-1. Neuroradiology. 2005;47(2):165-169. doi: 10.1007/s00234-004-1321-0
9. Cuoco JA, Klein BJ, Busch CM, et al. Neurosurgical management of lateral meningocele syndrome: a clinical update for the pediatric neurosurgeon. Pediatr Neurosurg. 2020;55(1):2-11. doi:10.1159/000504060
10. Amuthabarathi M, Harshith K, Nagarajan K. Infantile presentation of Lehman syndrome with multiple lateral meningoceles, dural ectasias, and herniation of conus: a rare case report. J Pediatr Neurosci. 2020; 15(2):111-115. doi:10.4103/jpn.JPN_152_18
11. Canalis E, Yu J, Schilling L, Yee SP, Zanotti S. The lateral meningocele syndrome mutation causes marked osteopenia in mice. J Biol Chem. 2018;293(36):14165-14177. doi:10.1074/jbc.RA118.004242
12. Rubadeux D, Owens JW, Shillington A. A Case of Lateral Meningocele Syndrome without Lateral Meningoceles. Mol Syndromol. 2024;15(4): 328-332. doi:10.1159/000536632
13. Velho V, Guthe S, Survashe P, Darade P. Symptomatic multiple level lateral meningoceles with intraspinal meningocele: a case study and its surgical management. Indian J Neurosurg. 2017;06(01):15-19. doi:10. 1055/s-0037-1598093
14. Ndlovu SM, Gaur B, Sureshkumar A, Saha S, Sidhu R. Isolated Large Lateral Thoracic Meningocele. Cureus. 2024;16(11):e73041. doi:10.7759/cureus.73041
Article available in :
Volume 3, Issue 1, 2026
Page : 22-24
https://doi.org/10.51271/AJNN-0045
Article Information
Received : 05 Oca 2026
Accepted : 19 Mar 2026
Published : 29 Mar 2026
Corresponding Author :

Olukorede Adekunle: Division of Neurosurgery, Department of Surgery, University of Ilorin Teaching Hospital, Kwara, Nigeria

[email protected]
Citation : Yusuf AS, Idris MM, Adekunle OO, Bakwa ND, Muhammed AS. Lateral meningocele syndrome in a Nigerian child: a case report and literature review. Acad J Neuropsychiatry Neuropsychol. 2026;3(1):22-24. doi:10.51271/AJNN-0045

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