Abstract
We present two cases of spontaneous intracerebellar migration of a pseudomeningocele. This is a rarely reported complication of posterior fossa surgery with possible life threatening cerebellar mass effect. The probable mechanism is a slow but progressive cerebrospinal fluid (CSF) movement (one-way valve mechanism) into the pseudomeningocele with secondary herniation or dissection through a weakened dura into the cerebellum causing progressive or acute cerebellar dysfunction. Evacuation and dural repair with or without CSF shunting or marsupialisation results in resolution of the symptoms.
Acknowledgements
The authors express their gratitude to Mr. René Schrijvers and Mr. Juul Bollen for illustrations.
Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.