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Dolichoectasia of vertebrobasilar artery is a condition in which the vertebral/basilar artery is elongated, distended and tortuous. It is usually asymptomatic. It may present with compressive or ischemic symptoms. Hydrocephalus as a complication of vertebrobasilar dolichoectasia is rare. We present a case of a 60-year-old male with dolichoectasia of the basilar artery causing compression of the third ventricular outflow and, thus, presenting with noncommunicating hydrocephalus.

The Currarino triad, also known as the "Currarino Syndrome", is a rare complex of congenital caudal anomalies including three main features; a sacral bony deformity, anorectal malformations, and a presacral mass. We present an extremely uncommon case of Currarino syndrome in adulthood presenting with repeated episodes of meningitis. Magnetic resonance imaging of spine was suggestive of caudal regression. Cord was low lying, conus ending at L3 level with evidence of tethering at that level. A large cyst was noted in the sacral canal extending forwards in the pelvis through the widened sacral foramina on right side. She was operated through a posterior approach, via sacral laminectomy. Dura was opened in the midline, large silvery white epidermoid tumor was found completely occupying the anterior sacral meningocele. The case and relevant literature is discussed.KeywoRds: Anterior sacral meningocele, Currarino syndrome, Epidermoid cyst, Meningitis ÖZ "Currarino Sendromu" olarak da bilinen Currarino triadı üç ana bulgudan oluşan nadir bir konjenital kaudal anomali kompleksidir: sakral kemik deformitesi, anorektal malformasyonlar ve presakral kitle. Erişkin bir hastada tekrarlanan menenjit episotlarıyla ortaya çıkan çok nadir bir Currarino sendromu vakası sunuyoruz. Omuriliğin manyetik rezonans görüntülemesi kaudal regresyon düşündürdü. Kord düşük seviyedeydi ve konus L3 seviyesinde sonlanıp o seviyede tutunma bulguları gösteriyordu. Sakral kanalda sağ tarafta genişlemiş sakral foramenler içinden pelvise ileri doğru uzanan büyük bir kist görüldü. Hastaya posterior yaklaşımla sakral laminektomi yoluyla ameliyat yapıldı. Dura orta hatta açıldı ve anterior sakral meningoseli tamamen dolduran büyük bir gümüş beyazı epidermoid tümör bulundu. Vaka ve ilgili literatür tartışılmaktadır.ANAHTAR sÖZCÜKLeR: Anterior sakral meningosel, Currarino sendromu, Epidermoid kist, Menenjit