Figure 1.

Images from a 37-year-old woman who underwent a C4-7 anterior discectomy and arthrodesis with plating to address spinal cord compression and myelopathy. A small durotomy occurred during decompression and this area was covered with a small piece of dural substitute and sealant. The patient did well following surgery until she represented 4 weeks later with a 5-day history of headache. T2-weighted sagittal (A) and axial (B) magnetic resonance imaging studies demonstrated a large pseudomeningocoele. The patient was admitted and treated with a course of dexamethasone with complete resolution of her headache. She was discharged from the hospital and had no further sequelae. At 8-month follow-up, the patient remained symptom-free and demonstrated solid arthrodesis (C).