Multidisciplinary surgical treatment of presacral meningocele and teratoma in an adult with Currarino triad

Chakhalian, Daniel; Gunasekaran, Arunprasad; Gandhi, Gautam; Bradley, Lucas; Mizell, Jason S.; Kazemi, Noojan

doi:10.4103/sni.sni_439_16

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Approximately, 80% of the patients with the classic triad are recognized during the first decade of life. ( 15) Urinary symptoms and chronic constipation are amongst the most common manifestations of Currarino triad ( 16) Other clinical presentations include gynecological anomalies, spinal cord tethering, perianal sepsis, and meningitis (17).…”

Section: Discussionmentioning

confidence: 99%

Incomplete Currarino triad in an adult woman

Al-Youzbaki,

Mahmoud,

Alsubaihawi

et al. 2023

roneuro

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Introduction: Currarino Syndrome (CS) is a rare entity characterized by a triad of sacral agenesis, anorectal malformations, and pre-sacral masses. CS is typically diagnosed during the first decade of life. Case Description: We present a rare case of incomplete Currarino syndrome manifesting in a 36-year-old lady who presented with back pain, urinary retention, anal paresthesia, and lower limb weakness. The patient underwent multiple laminectomies and partial resection of an epidermoid cyst and regained function. Conclusion: Although rare, the possibility of Currarino syndrome should be entertained in adult patients with lower lumbosacral symptoms and a pre-sacral mass. A thorough physical examination and strategic pre-operative planning are mandatory to maximize patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Incomplete Currarino triad in an adult woman

Al-Youzbaki,

Mahmoud,

Alsubaihawi

et al. 2023

roneuro

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“…However, complications associated with coccygectomy include delayed wound healing, increased wound infection rate, prolonged recovery time, and rarely, bowel herniation. Thus, in recent case reports, coccygectomy was sometimes omitted when the presacral tumor was located away from the coccyx [ 12 , 14 , 15 ]. In our case, resection of the coccyx was performed in order to expose and resect the tumor via the posterior approach.…”

Section: Discussionmentioning

confidence: 99%

Surgical management for a huge presacral teratoma and a meningocele in an adult with Currarino triad: a case report

et al. 2018

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Background: The Currarino triad is a rare hereditary syndrome comprising anorectal malformation, sacral bony defect, and presacral mass. Most of the patients are diagnosed during infancy. Case presentation: A 44-year-old man was diagnosed with Currarino triad, with a huge presacral teratoma and meningocele. One-stage surgery via posterior approach was successful. Conclusions: Treatment of the presacral mass in the Currarino triad, diagnosed in adulthood, is challenging. Multidisciplinary management and detailed planning before surgery are important for a satisfactory outcome.

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“…Currarino syndrome (CS) is a rare condition defined by a triad consisting of anorectal malformations, sacral bone deformities, and presacral masses. [2,7] Approximately 70% of cases are familial with an autosomal dominant inheritance pattern.…”

Section: Introductionmentioning

confidence: 99%

“…Different surgical approaches have been utilized. [2] Here, we report four sequential patients with symptomatic CS treated successfully with sequential, staged, anterior followed by posterior approaches.…”

Section: Introductionmentioning

confidence: 99%

Neurosurgical management of Currarino syndrome: A case series and review of literature

Tucker

Morgenstern

Diaz

et al. 2019

Surgical Neurology International

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Background: The Currarino syndrome (CS), defined by the triad of anorectal malformations, sacral bone deformities, and presacral masses, is rare. There are few surgical series that discuss conservative management versus the surgical approaches to these lesions. Here, we describe utilizing a combined anterior and posterior approach for resecting these lesions in four patients. Methods: Four patients with CS were treated with two-stage approaches performed by a multidisciplinary team, including pediatric neurosurgery and general surgery. The first anterior laparoscopic approach mobilized the presacral mass from its ventral attachments. The second posterior procedure detethered the spinal cord, repaired the dural defect, and facilitated removal of the presacral mass. Results: Gross total resection of all four presacral masses was accomplished without intraoperative complication; all patients clinically improved. Conclusion: The CS is characterized by a large presacral mass. Here, one must rule out malignancy and also consider diagnosis/resection due to the risks for malignant transformation. The operative approach we described in four patients utilized standard anterior mobilization of the mass, followed by posterior detethering, dural repair, and ultimate resection.

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Multidisciplinary surgical treatment of presacral meningocele and teratoma in an adult with Currarino triad

Cited by 8 publications

References 8 publications

Incomplete Currarino triad in an adult woman

Incomplete Currarino triad in an adult woman

Surgical management for a huge presacral teratoma and a meningocele in an adult with Currarino triad: a case report

Neurosurgical management of Currarino syndrome: A case series and review of literature

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