Midline anterior neck inclusion cyst: A novel superficial congenital developmental anomaly of the neck

Walsh, Rabina; North, J. H.; Cordoro, Kelly M.; Bandera, Ana Isabel Rodríguez; Kristal, Leonard; Frieden, Ilona J.

doi:10.1111/pde.13371

Cited by 9 publications

(22 citation statements)

References 5 publications

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“…Our patient's cyst was lanced; however, other treatment modalities include shave or snip excision, curettage or surgical extirpation. Of the seven cases reported by Walsh et al ., one case underwent spontaneous regression, and accordingly, expectant management may be reasonable.…”

Section: Answermentioning

confidence: 88%

“…Midline anterior neckline inclusion cyst, otherwise known as MANIC, is a recently described developmental defect characterised by the presence of a superficial cyst in the midline neck with no associated developmental defects. It has only been recently described in the literature by Walsh et al . and is hypothesised to be due to the abnormal fusion of the anterior midline plane.…”

Section: Answermentioning

confidence: 99%

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What's that bump?

Wong

Ming

Sebaratnam

2018

J Paediatrics Child Health

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Section: Answermentioning

confidence: 88%

Section: Answermentioning

confidence: 99%

What's that bump?

Wong

Ming

Sebaratnam

2018

J Paediatrics Child Health

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“…22 Midline anterior neck inclusion cyst (MANIC) is a congenital, superficial, midline neck cyst that looks like a large milium. [23][24][25] It has not been associated with underlying anomalies. 23 It is usually located on the lower neck, just above the manubrium at the level of the sternal notch.…”

Section: Embryological Remnantsmentioning

confidence: 99%

Cutaneous ultrasound and its utility in Pediatric Dermatology: Part II—Developmental anomalies and vascular lesions

Bandera

Sebaratnam

Feito-Rodríguez

et al. 2019

Pediatric Dermatology

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In the first article in this series, we reviewed cutaneous ultrasound and its benefits and limitations as a noninvasive diagnostic tool in the pediatric setting. The sonographic findings of lumps and bumps and inflammatory conditions were discussed. In this second article, we review ultrasonographic findings of developmental anomalies and vascular lesions. | DE VELOPMENTAL ANOMALIE S | Cutaneous markers of dysraphismWell-recognized cutaneous markers of cranial dysraphism include the hair collar sign (HCS) (Figure 1), congenital hair tuft of the scalp (HTS), 1 large areas of aplasia cutis congenita (> 5 cm) 2 (Figure 2), and midline dermoid cyst. When these findings are present, a cerebral magnetic resonance imaging (MRI) is indicated. 1,3 Similarly, in the lumbosacral area, lipoma, infantile hemangioma greater than 2.5 cm (Figure 3), dermoid cyst or dermal sinus, aplasia cutis, acrochordon, and pseudotail or true tail are considered high-risk cutaneous markers of occult spinal dysraphism, and MRI is mandatory. For intermediate-risk cutaneous markers of spinal dysraphism such as atypical dimple, infantile hemangioma smaller than 2.5 cm, and hypertrichosis, ultrasonography is recommended in patients younger than 6 months and MRI in older patients. 3 High-frequency ultrasongraphy (HFUS) might be a helpful adjunct when approaching cutaneous markers of dysraphism, allowing assessment during the first visit, avoiding sedation and diagnostic delay, and helping to triage the urgency of further management. It can identify a range of pathologies including bone defects (Figure 2), cephaloceles, 4 atretic cephaloceles, 5,6 brain tissue heterotopia, sinus pericranii (Figure 2), as well as dermoid cysts, and their potential extension to underlying intracranial structures (Figure 3).There are few descriptions of the sonographic appearance of aplasia cutis congenita. It appears as a focal thinning of the dermis and, sometimes, of the subcutis. 7 When involving the underlying bone (20%-30% of the cases), 8 a discontinuation of the hyperechoic thick line representing the skull is detected (Figure 2). We have observed increased echogenicity in the upper part of the hypodermis immediately underlying the defect, possibly subsequent to a cicatricial process (Figure 1). Bullous aplasia cutis shows a superficial anechoic area, with a convex thin roof. | Dysraphisms and sinus pericraniiA cephalocele consists of a herniation of meningeal and/or neuroglial tissue through a congenital cranial defect. Clinically, it Abstract High-frequency ultrasonography represents a promising tool for pediatric dermatologists. It is a noninvasive and harmless diagnostic technique that is especially appealing when working with children. It can be easily performed at the patient's bedside, avoiding diagnostic delays, sedation, or multiple visits. It represents a useful adjunct to clinical examination and aids our understanding of cutaneous pathology. In this second part, we describe the ultrasonographic findings of developmental anomalies and vascular lesion...

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“…These features are compatible with a midline anterior neck inclusion cyst. 1 These lesions present as superficial midline neck cysts that look like giant milia without underlying anomalies or associated defects. They are thought to be superficial developmental defects occurring along the anterior midline fusion plane (dermoid cysts).…”

mentioning

confidence: 99%

“…The characteristic and consistent location in all cases and the congenital nature suggest a developmental anomaly at this site. 1 Midline lesions can sometimes inspire concern about deeper connections. Fortunately, on the anterior neck, connection to the central nervous system is not a possibility given otherwise normal anatomy.…”

mentioning

confidence: 99%