Anterior sacral meningocele clinical features



Common presentations include infection, meningitis, and obstetric problems. Typically presenting with mass effect symptoms secondary to a presacral cystic mass 1)

Owing to its occult nature, these lesions are usually present later in life. These could present with constipation, urological symptoms, or rarely neurological symptoms. More than three-fourths of cases are seen in women of reproductive age who are more likely to have a diagnosis of asymptomatic ASM during a pelvic examination. In this group of patients, ASM may lead to infertility and difficult labor.

Young children mostly present with chronic constipation or retention of urine 2).


1)
Kamal MA, Eltayeb M, Coulter I, Jenkins A. Surgical management of anterior sacral meningoceles: an illustrated case series and review of the literature. Br J Neurosurg. 2023 Jan 3:1-7. doi: 10.1080/02688697.2022.2162852. Epub ahead of print. PMID: 36594268.
2)
Bedi NK, Chadha R, Bagga D, Anand R, Mohta A. Anterior sacral meningocele: an uncommon cause of constipation in early childhood. Indian Pediatr. 1992 Sep;29(9):1157-60. PMID: 1452316.
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