Management of giant posterior meningocele lombosacral: about three case report

Meningoceles are one of the most common malformations of the nervous system, accounting for around 10% of all neural tube defects. It is a complex congenital malformation of the spine, characterized by protrusions or expansions of one or more layers of the thecal sac through a canal or foramen of the spine in which there is a defect. Children usually show no neurological signs at birth, but surgical exploration is warranted to prevent future neurological deterioration. These malformations are frequently found in a posterior position, with dysraphic vertebrae in the lumbosacral region. Their management is associated with multiple challenges in our regions, including difficulties with perioperative and anesthetic care. We report these to highlight and share our experiences in the perioperative management of meningocele.