Lower cervical dermal sinus tract and associated intraspinal abscess causing meningitis in a child

Shah, Rajeev; Chaljub, Gregory; Swischuk, Leonard E.

doi:10.1007/s10140-003-0304-5

Cited by 12 publications

(5 citation statements)

References 5 publications

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“…Imaging in case of a dermal-sinus-like stalk MR imaging is imperative in case of a dermal sinus or dermal-sinus-like stalk [4,6,16], but interpretation can be difficult [3,20]. In case of a lumbosacral tract, the low position of the tethered conus medullaris can be depicted.…”

Section: Etiology Of the Spinal Dermal-sinus-like Stalkmentioning

confidence: 99%

The spinal dermal-sinus-like stalk

et al. 2008

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Objects In this study, a disjunction anomaly mimicking the spinal congenital dermal sinus (DS) is described. This anomaly is referred to as the dermal-sinus-like stalk. Dissimilarities between a true dermal sinus and a dermal-sinus-like stalk are discussed. Clinical material Three cases in which a spinal congenital dermal sinus was suspected are presented. A similar anatomical configuration, different from that of a dermal sinus, was found. All cases presented with a skin-covered dimple from which a solid tract was seen continuing intramedullary in two cases and intraspinally in one case. None of the patients presented with signs of infection or an associated dermoid-epidermoid tumor. Clinical, radiological, and surgical findings are discussed. A hypothesis is made on the pathological genesis of this malformation. Conclusion A dermal-sinus-like stalk is a malformation similar to a spinal congenital dermal sinus but is not associated with DS-related complications. Despite important clinical, radiological, surgical, and histopathological differences, it is difficult to distinguish this malformation from a true DS based on clinical and radiological examination alone. Therefore, surgical intervention, at the time of diagnosis, is recommended in all cases.

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Section: Etiology Of the Spinal Dermal-sinus-like Stalkmentioning

confidence: 99%

The spinal dermal-sinus-like stalk

et al. 2008

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“…Congenital dermal sinus tract is a rare malformation that most frequently occurs in the midline, anywhere from the nasal bridge to the coccyx [1,2]. This malformation usually involves the central nervous system.…”

mentioning

confidence: 98%

Lateral buttock and postanal congenital dermal sinus tract

Zheng

et al. 2010

Journal of Pediatric Surgery

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“…The tract is lined by stratified squamous epithelium containing dermal appendages. Congenital dermal sinuses are usually found on or by the midline anywhere from the nasal bridge to the coccyx [1]. They occur most commonly in the sacrococcygeal region followed by lumber, occipital, thoracic, and finally cervical levels (b1% of cases) [2,3].…”

Section: Discussionmentioning

confidence: 99%