Cervical Myelocystoceles and Meningoceles: Long-Term Follow-Up

Sun, John C.; Steinbok, Paul; Cochrane, D. Douglas

doi:10.1159/000028992

Cited by 28 publications

(31 citation statements)

References 10 publications

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“…This accounts for an incidence of about 2%. Only few series [3,6,8,15,16,17,18] report on the incidence of cervical meningoceles in the literature (table 2). …”

Section: Discussionmentioning

confidence: 99%

“…True meningoceles without stalk were found in 2 cases (25%) and 1 case had myelocystocele (12.5%). Salomão et al [15] found stalks in 78% of the cases, myelocystoceles in 17% and true meningocele in 5% only, while in Sun et al [6] 4 cases were myelocystoceles (50%) and 4 meningoceles (50%).…”

Section: Discussionmentioning

confidence: 99%

“…This tethering can be a serious issue if it is left untreated or not treated adequately. Even if the condition is asymptomatic, a tethered cervical cord is likely to cause gradual neurologic deterioration over time, with motor function in the upper extremities primarily affected [6,7]. Surgical removal for cosmesis and intradural exploration to untether the spinal cord to prevent delayed neurological deterioration is recommended in most cases [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Cystic Spinal Dysraphism of the Cervical Region: Experience with Eight Cases Including Double Cervical and Lumbosacral Meningoceles

Ali

2010

Pediatr Neurosurg

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Objective: Cervical meningoceles are rare. Clinical, radiological and surgical data of 8 cases were presented, including a unique case of double cervical and lumbosacral meningoceles. Methods: This retrospective study included all children operated on for cervical meningocele from January 2004 to June 2009 at the Aburish Pediatric Hospital, Cairo University. Results: Eight children (6 boys and 2 girls) were operated on. Their ages ranged between 2 months and 8 years. The clinical picture – apart form posterior cervical swelling – was almost normal. One case had paraplegia due to associated lumbosacral myelomeningocele (double meningocele). Four patients had associated hydrocephalus; 2 had Chiari malformation and 2 hydromyelia. Conclusion: The outcome after surgery for these lesions is excellent as the majority of the children have no or minimal neurological deficit and surgery does help in improving cosmesis and preventing the development of neurological deterioration.

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“…This accounts for an incidence of about 2%. Only few series [3,6,8,15,16,17,18] report on the incidence of cervical meningoceles in the literature (table 2). …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cystic Spinal Dysraphism of the Cervical Region: Experience with Eight Cases Including Double Cervical and Lumbosacral Meningoceles

Ali

2010

Pediatr Neurosurg

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“…In limited dorsal myeloschisis, there is a posterior extended dural sac, which contains neuroglial and peripheral nerves. In limited dorsal myeloschisis stalk, the fibrous tissue is formed as a separate split cord malformation [10,15]. Some authors agree that meningocele and myelocystocele are an integral part of limited dorsal myeloschisis[10].…”

Section: Discussionmentioning

confidence: 99%

Cervical Spinal Dysraphism

et al. 2010

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Objective: Cervical spinal dysraphism is a rare congenital spinal pathology. The results obtained from our series are compared with the results obtained from other series of studies in the literature. Methods: Seven patients with cervical myelomeningocele and meningocele who underwent surgery between January 1996 and March 2009 at the YYU Faculty of Medicine in the Department of Neurosurgery were retrospectively studied. Results: The referral ages of the patients (6 females and 1 male) varied between 4 days and 4 months (median 1 month). A stalk lesion covered with a dysplastic skin formed as a sac and located at the cervical midline was demonstrated in all of the patients. Cervical myelomeningocele was present in 4 patients, while cervical meningocele was present in 3 patients; however, Chiari type II malformation and hydrocephaly were present in 3 patients with myelomeningoceles. Diastematomyelia and a filum terminal lipoma were present in 1 of the patients. Conclusion: In this series, in contrast to the literature, we noted that the number of girls with spinal dysraphism with a cervical myelomeningocele and meningocele was greater than the number of boys. Chiari type II malformation, hydrocephaly and motor weakness in patients with cervical spinal dysraphism are less frequent when compared to patients with caudal spinal dysraphism. The structure of the sac is also more durable and, accordingly, a cerebrospinal fluid leakage is uncommon.

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“…2,12,[19][20][21] The pathogenesis of cervical spinal dysraphism is often explained by the``limited dorsal myeloschisis theory'': incomplete fusion of the posterior part of the neural tube results in limited dorsal myeloschisis and persistent endomesenchymal tract, which in turn causes cystic spinal dysraphism. 13) Moreover, the etiology of meningocele and myelocystocele has also been linked to the presence or absence of hydromyelia.…”

Section: Discussionmentioning

confidence: 99%

Cervical (Non-terminal) Myelocystocele Associated With Rapidly Progressive Hydrocephalus and Chiari Type II Malformation -Case Report-

Ochiai

Kawano

Miyaoka

et al. 2010

Neurol. Med. Chir.(Tokyo)

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An infant presented with a rare cervical (non-terminal) myelocystocele as a congenital skin-covered mass located in the midline of the posterior aspect of her neck. Magnetic resonance (MR) imaging and computed tomography showed a cystic mass filled with cerebrospinal fluid in the midline of the posterior aspect of the neck, with a fibrous streak extending from the bottom of the sac to the dorsal surface of the cervical cord. Brain MR imaging also showed a dilated ventricular system and Chiari type II malformation. The patient underwent plastic repair of the lesion, which was diagnosed as myelocystocele. After the surgery, the patient experienced respiratory distress. Ultrasound tomography from the anterior fontanel revealed deterioration of hydrocephalus, so a ventriculoperitoneal shunt was inserted, and the respiratory distress improved. The present case illustrates the possibility of rapidly worsening of hydrocephalus and Chari type II malformation after surgical repair of cervical (non-terminal) myelocystocele.

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Cervical Myelocystoceles and Meningoceles: Long-Term Follow-Up

Cited by 28 publications

References 10 publications

Cystic Spinal Dysraphism of the Cervical Region: Experience with Eight Cases Including Double Cervical and Lumbosacral Meningoceles

Cystic Spinal Dysraphism of the Cervical Region: Experience with Eight Cases Including Double Cervical and Lumbosacral Meningoceles

Cervical Spinal Dysraphism

Cervical (Non-terminal) Myelocystocele Associated With Rapidly Progressive Hydrocephalus and Chiari Type II Malformation -Case Report-

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