scholarly journals Cervical Intramedullary Cystic Teratoma with Dermal Sinus Tract: A Case Report and Review of Literature

2018 ◽  
Vol 09 (04) ◽  
pp. 631-635 ◽  
Author(s):  
Batuk Diyora ◽  
Sanjay Kukreja ◽  
Mazhar Mulla ◽  
Bhagyashri Bhende ◽  
Naren Nayak
Keyword(s):  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Complete Recovery ◽  
Sinus Tract ◽  
The Body ◽  
Intramedullary Tumor ◽  
Dermal Sinus ◽  
Dermal Sinus Tract ◽  
The Right ◽  
Progressive Weakness

ABSTRACTIntramedullary spinal teratomas are rare. We report a case in a 40-year-male who presented with progressive weakness over the right side of the body and gait imbalance. He had dermal sinus with hair patch over nape of the neck. Magnetic resonance imaging revealed cervical (C4–C7) intramedullary tumor with dermal sinus tract. C3–C7 laminectomy was performed and tumor excised along with the sinus tract. Histopathological examination revealed mature cystic teratoma. Gait ataxia was improved immediately while near complete recovery in motor power was achieved over a period of 2–3 weeks.

Prevotella melaninogenica Meningitis and Abscess: A Complication of the Removal of a Midline Dermoid Cyst

2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz
Keyword(s):  
Dermoid Cyst ◽  
Bacterial Infections ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Neural Tube Closure ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Oral Flora ◽  
Prevotella Melaninogenica ◽  
Dermal Sinus Tract

Abstract Prevotella species are gram-negative anaerobic commensal bacteria of the oropharynx, which frequently cause periodontal disease but are otherwise rarely implicated in serious bacterial infections. Cranial dermoid cysts are benign neoplasms that grow along the planes of the embryonic neural tube closure. In infants, they most commonly present in frontal locations, including periorbital, nasal, and within the anterior fontanelle. Although dermoid cysts are slow growing, usually uncomplicated, and easily treated definitively with surgical excision, cranial cysts located on the midline are associated with a higher risk for persistent dermal sinus tract with intracranial extension of the tumor. We describe a case of a 10-month-old male patient with an occipital midline dermoid cyst with intracranial extension, infected with Prevotella melaninogenica, and complicated by intracranial abscess formation and meningitis.This case highlights two unusual disease entities: the uncommon occipital location of a dermoid cyst, and complications of that cyst caused by a serious bacterial infection with a normal oral flora. We discuss the recommendation for neuroimaging prior to surgical excision of a midline dermoid cyst, given the risk for dermal sinus tract with intracranial communication. We also discuss potential mechanisms for bacterial inoculation of this cyst with Prevotella melaninogenica. This pathogen has not previously been reported as a complication of dermoid cysts.

An unusual sequelae of an infected persistent dermal sinus tract

2006 ◽  
Vol 23 (5) ◽  
pp. 569-571 ◽  
Author(s):  
R. Shane Tubbs ◽  
Philip K. Frykman ◽  
Carroll M. Harmon ◽  
W. Jerry Oakes ◽  
John C. Wellons
Keyword(s):  
Sinus Tract ◽  
Dermal Sinus ◽  
Dermal Sinus Tract

scholarly journals Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Hiroharu Kobayashi ◽  
Shinichi Shibuya ◽  
Kentaro Iga ◽  
Keiichiro Kato ◽  
Airi Kato ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Cystic Teratoma ◽  
Cystic Mass ◽  
Mature Cystic Teratoma ◽  
Contrast Enhanced ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Paratubal Cyst

A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion. Two small pedunculated 1- and 2-cm diameter paratubal cysts that grew from almost the same place of the ampulla of the right fallopian tube were observed. The thin stalk of the 1-cm paratubal cyst was entangled around the stalk of the 2-cm paratubal cyst, with its head congested. Through a small abdominal laparoscopic incision, the tumor of the right ovary and the two paratubal cysts were excised. Histopathological examination revealed that the right ovarian tumor was a mature cystic teratoma, and the two paratubal cysts had no malignancy. This case showed that only a 2-cm tumor with congestion caused the acute abdomen.

CONGENITAL PTERIONAL DERMAL SINUS IN AN 18-MONTH-OLD CHILD

Neurosurgery ◽  
2007 ◽  
Vol 61 (3) ◽  
pp. E661-E661 ◽  
Author(s):  
William J. Mack ◽  
Saadi Ghatan
Keyword(s):  
Clinical Features ◽  
Neural Tube ◽  
Clinical Presentation ◽  
Sinus Tract ◽  
Dermal Sinus ◽  
Operating Microscope ◽  
First Case ◽  
Dermal Sinus Tract ◽  
Cranial Fossa ◽  
Congenital Dermal Sinus

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.

En bloc excision of a dermal sinus tract

2011 ◽  
Vol 18 (4) ◽  
pp. 554-558 ◽  
Author(s):  
Jean-Valery Coumans ◽  
Brian P. Walcott ◽  
Navid Redjal ◽  
Kristopher T. Kahle ◽  
Brian V. Nahed
Keyword(s):  
Sinus Tract ◽  
Dermal Sinus ◽  
En Bloc ◽  
Dermal Sinus Tract ◽  
En Bloc Excision ◽  
Bloc Excision

Dermal sinus tract - An OFT overlooked cause of E. coli meningitis

2008 ◽  
Vol 75 (10) ◽  
pp. 1086-1086 ◽  
Author(s):  
Lakshmi Muthukrishnan ◽  
Janani Sankar ◽  
E. Mahender ◽  
Chidambaram Balasubramaniam ◽  
G. Kumaresan
Keyword(s):  
Sinus Tract ◽  
Dermal Sinus ◽  
E Coli ◽  
Dermal Sinus Tract

Congenital Dermal Sinus Tract of the Spine

2014 ◽  
Vol 29 (10) ◽  
pp. 1277-1282 ◽  
Author(s):  
Mesut Mete ◽  
Ahmet Sukru Umur ◽  
Yusuf Kurtuluş Duransoy ◽  
Mustafa Barutçuoğlu ◽  
Nurcan Umur ◽  
...  
Keyword(s):  
Sinus Tract ◽  
Dermal Sinus ◽  
Dermal Sinus Tract ◽  
Congenital Dermal Sinus

Infected congenital lumbosacral dermal sinus tract with conus epidermoid abscess: a rare entity

2020 ◽  
Author(s):  
Surendra Kumar Gupta ◽  
Prashant Singh ◽  
Rakesh Kumar Gupta ◽  
Raghvendra Sharma ◽  
Lokesh S. Nehete
Keyword(s):  
Sinus Tract ◽  
Dermal Sinus ◽  
Rare Entity ◽  
Dermal Sinus Tract

Convexity Meningioma Presenting as Postpartum Eclampsia

2003 ◽  
Vol 33 (1) ◽  
pp. 53-54 ◽  
Author(s):  
Bello B Shehu ◽  
Nasiru J Ismail
Keyword(s):  
Early Diagnosis ◽  
The Body ◽  
History Of ◽  
Neurological Features ◽  
The Right ◽  
The Brain ◽  
Tomography Scan ◽  
Progressive Weakness ◽  
In Pregnancy

A 37-year-old woman, Para 5+0 presented with a 1 year history of recurrent convulsions and progressive weakness of the right side of the body. She had been treated for postpartum eclampsia in her last delivery but symptoms recurred 3 months later. Evaluation including computerized tomography scan of the brain suggested a parieto-temporal meningioma, which was completely excised at craniotomy. Histology confirmed this to be a meningioma. The patient was well at 8 months of follow up. The growth of meningiomas may increase during pregnancy due to presence of receptors for progestational hormones in the tumour and the meningioma may become symptomatic in pregnancy, presenting as eclampsia. Close follow up of patients with eclampsia is necessary to identify neurological features that may lead to a diagnosis of meningioma. Early diagnosis is essential if a good outcome is to be ensured.

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