Aseptic meningitis after microdiscectomy: description of a case and review of the literature

Spine J. 2008 Jul-Aug;8(4):700-2. doi: 10.1016/j.spinee.2007.06.002. Epub 2007 Jul 23.

Abstract

Background context: Aseptic meningitis has rarely been described after spinal surgery. No reports of aseptic meningitis exist after microdiscectomy in the literature.

Purpose: To report on a case of aseptic meningitis in a patient after undergoing laminotomy and microdiscectomy at L4-L5.

Study design/setting: Case report.

Methods: A 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.

Results: Cerebrospinal fluid (CSF) examination subsequently revealed a pattern for aseptic meningitis.

Conclusions: Presentation 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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Diskectomy / adverse effects*
  • Humans
  • Intervertebral Disc Displacement / surgery*
  • Laminectomy / adverse effects*
  • Lumbar Vertebrae / surgery*
  • Male
  • Meningitis, Aseptic / cerebrospinal fluid
  • Meningitis, Aseptic / diagnosis
  • Meningitis, Aseptic / drug therapy
  • Meningitis, Aseptic / etiology*
  • Meningitis, Bacterial / diagnosis
  • Microsurgery
  • Postoperative Complications / etiology*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents