Congenital cervical dermal sinus tract caused tethered cord syndrome in an adult: a case report

Congenital midface anomalies are rare. Multiple congenital midface anomalies occur in children. Imaging techniques like computed tomography (CT) and magnetic resonance imaging (MRI) help in characterising the lesions, making definite diagnosis and knowing about intracranial extension. We present a case report of 8 year old female child with Frontonasal Epidermoid Cyst with patent dermal sinus tract opening on the dorsum of nose and intracranial extension through cribriform plate defect.

Download Full-text

The Association of the Epidermoid Cyst of the Filum Terminale, Intradural Spinal Lipoma, Tethered Cord, Dermal Sinus Tract, and Type I Diastematomyelia in a Child

World Neurosurgery ◽

10.1016/j.wneu.2014.08.040 ◽

2014 ◽

Vol 82 (6) ◽

pp. e836-e837 ◽

Cited By ~ 5

Author(s):

Hakan Ak ◽

Tugay Atalay ◽

İsmail Gülşen

Keyword(s):

Epidermoid Cyst ◽

Tethered Cord ◽

Sinus Tract ◽

Dermal Sinus ◽

Type I ◽

Filum Terminale ◽

Spinal Lipoma ◽

Dermal Sinus Tract

Download Full-text

Conflicting Diagnosis of Dermal Sinus Tract and Tethered Cord

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100016103 ◽

2013 ◽

Vol 40 (6) ◽

pp. 889-891

Author(s):

Chris J. Hong ◽

Saleh A. Almenawer ◽

Boleslaw Lach ◽

Nina Stein ◽

Benedicto Baronia ◽

...

Keyword(s):

Spinal Dysraphism ◽

Tethered Cord ◽

Sinus Tract ◽

Neural Tube Closure ◽

Dermal Sinus ◽

Lumbar Region ◽

Occult Spinal Dysraphism ◽

Developmental Abnormalities ◽

Skin Tags ◽

Dermal Sinus Tract

Dermal sinus tracts (DSTs) are an uncommon form of occult spinal dysraphism that is attributed to incomplete neural tube closure during fetal development. Dermal sinus tracts are found along the midline neuroaxis from the nasion to the coccyx, but they most commonly appear in the lumbar region. Dermal sinus tracts are more commonly associated with other developmental abnormalities such as skin tags, naevi, spinal dermoid cysts, meningocoele, lipomas and spinal cord tethering, and can be complicated by cerebrospinal fluid drainage, shedding of keratin from the epithelialized tract, and infection such as meningitis.

Download Full-text

Radiologically occult cervical intradural dermal sinus tract: a case report and review of literature

Child s Nervous System ◽

10.1007/s00381-020-04673-9 ◽

2020 ◽

Vol 36 (8) ◽

pp. 1807-1809

Author(s):

Takayuki Mukai ◽

Kenichi Usami ◽

Eitaro Ishisaka ◽

Hideki Ogiwara

Keyword(s):

Case Report ◽

Sinus Tract ◽

Dermal Sinus ◽

Review Of Literature ◽

Dermal Sinus Tract

Download Full-text

SPINAL DYSRAPHISM;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.04.1528 ◽

2017 ◽

Vol 24 (04) ◽

pp. 565-573

Author(s):

Bushra Ujala ◽

Saeeda Bano ◽

Asma Mehreen ◽

Hassan Bukhari

Keyword(s):

Spinal Dysraphism ◽

Tethered Cord ◽

Sinus Tract ◽

Radiology Department ◽

Dermal Sinus ◽

Pediatric Age Group ◽

First Choice ◽

Dermal Sinus Tract

Introduction: MRI plays an important role in characterising spinal dysraphisms.The reason behind this is quality of MRI showing very high contrast resolution of soft tissuesand the ability to detect fat in the lesion.T2 weighted images provide excellent contrastbetween the sub-arachnoid spaces and neural tissue while evaluating spinal dysraphisms.Objectives: To determine the frequency of rare disorders of spinal dysraphism in view of MRIfindings of spinal dyspharism patients. Study Design: retrospective. Duration: the study wasconducted from 1st September 2015 to 30th November 2015. Settings: Radiology department,Allied hospital Faisalabad. Methods: A total of 20 consecutive pediatric age group patientspresented with clinical suspicion of spinal dysraphism were included. MRI L/S spine was carriedout on 1.5Tesla Philips and diagnosis of various disorders of spinal dysraphism was made.Conclusion: MRI is the first choice examination for the detection of occult spinal dysraphism.Its timely diagnosis improving surgical & medical outcome as well as better & long term careof patients with spinal dysraphism. Majority of patients in the current study had tethered cord(75%), myelomeningocele (20%), myelocele (10%), lipomyelocele (10%) Dermal sinus tract(10%) & diastematomyelia (10%) followed by associated spinal lipomas (5%), caudal agenesis(5%) & anterior meningocele (5%).

Download Full-text