Congenital Dermal Sinus Tract of the Spine

Abstract OBJECTIVE Congenital dermal sinus tracts most frequently occur in the midline and are often associated with dermoid or epidermoid inclusion cysts. A lateral cranial origin is extremely rare and anatomically inconsistent with an etiology involving closure of the rostral neural tube during embryogenesis. CLINICAL PRESENTATION We describe the first case of a pterional cranial dermal sinus tract associated with a small epidermoid, with extension to the dura of the anterior cranial fossa. INTERVENTION The extra- and intracranial portions of the tract were visualized and resected with the use of an operating microscope. Pathological diagnosis confirmed dermal sinus tract. CONCLUSION We review the existing literature and address the developmental and clinical features pertinent to the management of cranial dermal sinus tracts, emphasizing the need for exploration of these potentially harmful lesions.

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Congenital dermal sinus tract localized in the cervical region in an adult patient – Clinical case. Review of the literature

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2020.100683 ◽

2020 ◽

Vol 21 ◽

pp. 100683 ◽

Cited By ~ 1

Author(s):

M. Petrov ◽

V. Gerganov ◽

N. Gabrovsky ◽

M. Kamenova

Keyword(s):

Adult Patient ◽

Clinical Case ◽

Sinus Tract ◽

Cervical Region ◽

Dermal Sinus ◽

Case Review ◽

Review Of The Literature ◽

Dermal Sinus Tract ◽

Congenital Dermal Sinus

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Spinal Abscess in a Patient with Undiagnosed Congenital Dermal Sinus Tract

Global Pediatric Health ◽

10.1177/2333794x20953324 ◽

2020 ◽

Vol 7 ◽

pp. 2333794X2095332

Author(s):

Pezad Doctor ◽

Jocelyn Ang ◽

Basim Asmar ◽

Eric McGrath

Keyword(s):

Sinus Tract ◽

Dermal Sinus ◽

Spinal Abscess ◽

Dermal Sinus Tract ◽

Congenital Dermal Sinus

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Congenital dermal sinus tract in the lateral buttock: unusual presentation of a typically midline lesion

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2008.01.021 ◽

2008 ◽

Vol 43 (6) ◽

pp. 1200-1202 ◽

Cited By ~ 14

Author(s):

Ifeoma Ikwueke ◽

Samantha Bandara ◽

Steven J. Fishman ◽

Sara O. Vargas

Keyword(s):

Sinus Tract ◽

Unusual Presentation ◽

Dermal Sinus ◽

Dermal Sinus Tract ◽

Congenital Dermal Sinus

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Lateral Buttock Congenital Dermal Sinus Tract

Neurologia medico-chirurgica ◽

10.2176/nmc.51.460 ◽

2011 ◽

Vol 51 (6) ◽

pp. 460-462 ◽

Cited By ~ 6

Author(s):

Satoshi YAMAGUCHI ◽

Masaaki TAKEDA ◽

Hirotaka KIHARA ◽

Kuniki EGUCHI ◽

Takafumi MITSUHARA ◽

...

Keyword(s):

Sinus Tract ◽

Dermal Sinus ◽

Dermal Sinus Tract ◽

Congenital Dermal Sinus

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Lateral congenital dermal sinus tract associated with an intradiploic dermoid tumor

Journal of Neurosurgery ◽

10.3171/jns.1970.33.1.0103 ◽

1970 ◽

Vol 33 (1) ◽

pp. 103-105 ◽

Cited By ~ 12

Author(s):

Charles R. Neblett ◽

Pedro C. Caram ◽

Richard Morris

Keyword(s):

Sinus Tract ◽

Dermal Sinus ◽

Dermal Sinus Tract ◽

Dermoid Tumor ◽

Congenital Dermal Sinus

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Intramedullary abscess complicating congenital dermal sinus tract in an infant: A rare occurrence

Sri Lanka Journal of Child Health ◽

10.4038/sljch.v46i1.7984 ◽

2017 ◽

Vol 46 (1) ◽

pp. 77

Author(s):

Joseph J Valamparampil ◽

Ajay Kumar ◽

Alice Deepa ◽

Prameela Joji ◽

S Shajehan

Keyword(s):

Sinus Tract ◽

Dermal Sinus ◽

Rare Occurrence ◽

Intramedullary Abscess ◽

Dermal Sinus Tract ◽

Congenital Dermal Sinus

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Spinal congenital dermal sinus associated with upper thoracic meningocele

Neurosurgical FOCUS ◽

10.3171/foc.2003.15.1.13 ◽

2003 ◽

Vol 15 (1) ◽

pp. 1-3 ◽

Cited By ~ 5

Author(s):

Niyazi Nefi Kara

Keyword(s):

Magnetic Resonance Imaging ◽

Unusual Case ◽

Treatment Approach ◽

Skin Surface ◽

Sinus Tract ◽

Dermal Sinus ◽

Resonance Imaging ◽

Dermal Sinus Tract ◽

Upper Thoracic ◽

Congenital Dermal Sinus

The congenital dermal sinus is an abnormal epithelium-lined sinus tract between the skin surface and deeper tissues. It occurs during neurulation when the neural groove closes to form the neural tube on Day 26 of gestation and results from a failure of neuroectoderm to separate from the cutaneous ectoderm. The most frequent location is the lumbosacral area; an upper thoracic location is quite rare. This 37-year-old man presented with headache and numbness in both arms. No specific neurological findings were observed. Physical examination revealed a dimple at T-2. Radiography and magnetic resonance imaging of the thoracic spine revealed spina bifida at T1–3, a meningocele, and a dermal sinus tract complex. The treatment approach and outcome in this unusual case are presented.

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