Congenital dermal sinus tract localized in the cervical region in an adult patient – Clinical case. Review of the literature

Petrov, M.; Gerganov, Venelin M.; Gabrovsky, N.; Kamenova, M.

doi:10.1016/j.inat.2020.100683

Cited by 3 publications

(6 citation statements)

References 4 publications

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Section: Discussionmentioning

confidence: 99%

“…Congenital DSTs are hypothesized to be the embryological result of an incomplete separation between the neural ectoderm and cutaneous surface ectoderm during the 3rd and 8th week of gestation [ 2 ]. Less than 1% of all congenital DST cases are found in the cervical region, where only 4% of the cases are diagnosed after the age of 20 [ 2 ]. The major clinical presentations and symptoms of congenital DST are hypertrichosis, abnormal pigmentation, infections, neurological deficits, skin dimples, erythema, hemangiomas, drainage of debris from the pit, tethered cords, inclusion tumors, and subcutaneous lipomas [ 2 , 4 – 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Less than 1% of all congenital DST cases are found in the cervical region, where only 4% of the cases are diagnosed after the age of 20 [ 2 ]. The major clinical presentations and symptoms of congenital DST are hypertrichosis, abnormal pigmentation, infections, neurological deficits, skin dimples, erythema, hemangiomas, drainage of debris from the pit, tethered cords, inclusion tumors, and subcutaneous lipomas [ 2 , 4 – 7 ]. Neurological deficits include motor weakness, sensory and reflex changes, and gait abnormalities [ 5 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers [ 1 ]. With an incidence rate of 1 case per 2500 live births, congenital DST is found in the cervical region in around 1% of all cases [ 2 , 3 ]. In 2020, Petrov reported a clinical case of a 58-year-old as one of the oldest patients with congenital DST in the cervical region [ 2 ].…”

Section: Background and Importancementioning

confidence: 99%

“…With an incidence rate of 1 case per 2500 live births, congenital DST is found in the cervical region in around 1% of all cases [ 2 , 3 ]. In 2020, Petrov reported a clinical case of a 58-year-old as one of the oldest patients with congenital DST in the cervical region [ 2 ]. Adding to the current literature, we would like to report a 65-year-old woman with congenital DST at the C1–C2 level who presented with symptoms and pathological findings unusual for this entity.…”

Section: Background and Importancementioning

confidence: 99%

See 4 more Smart Citations

Posterior cervical congenital dermal sinus tract: case report and review of literature

Vokshoor,

Jajj,

Grunwald

et al. 2023

Spinal Cord Ser Cases

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Background and importance Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers. With 1% of all congenital DST cases found in the cervical region, only 4% of all cases are diagnosed after the age of 20. Clinical presentation In this case, a 65-year-old woman with a congenital DST at the cervical level presented with symptoms of neck and some arm pain, suboccipital headaches, and unique external characteristics. Neck Disability Index and visual analog scale were used to assess the patient’s preoperative and postoperative pain, and quality of life. Patient underwent an operative intervention, where the DST was surgically removed followed by interlaminar decompression at C1–C2, excision of the epidural component, and biopsy followed by plastic surgical repair. Pathology analysis indicated a squamous epithelial-lined sinus tract interacting with the dura. Most notably, a meningothelial proliferation with associated psammomatous calcifications was identified, similar to a meningioma. Conclusion A review of literature was conducted to further discuss clinical and radiological presentation as well as to document the novel appearance of this congenital DST. As one of the oldest cases of DST, it demonstrated unusual pathological characteristics with a meningothelial proliferation, compatible with meningioma, reported at the epidural level.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Background and Importancementioning

confidence: 99%

Section: Background and Importancementioning

confidence: 99%

See 3 more Smart Citations

Posterior cervical congenital dermal sinus tract: case report and review of literature

Vokshoor,

Jajj,

Grunwald

et al. 2023

Spinal Cord Ser Cases

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Complicated congenital dermal sinus: Diagnosis and management

Mattar

Kassem

Sabry

2020

Interdisciplinary Neurosurgery

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Meningite recorrente por Sinus Trato Dérmico Lombossacral

Pereira,

Dias,

Fonseca

et al. 2023

Braz. J. Hea. Rev.

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Sinus Trato Dérmico (STD) é uma alteração embriológica devido à não disjunção da neuroectoderme e ectoderme nas primeiras semanas de gestação. Mais comum na em região lombossacral, o STD tem como principal complicação as infecções, sendo mandatória correção cirúrgica após o diagnóstico. Pré-escolar masculino de 3 anos e 11 meses, admitido em pronto socorro infantil com quadro de meningite, que recorreu em 4 dias após tratamento antimicrobiano, sendo readmitido para novo tratamento e diagnosticado nesta ocasião o STD. O paciente foi abordado neurocirurgicamente com boa evolução clínica e sem novas infecções após. O diagnóstico e tratamento do STD deve ser idealmente quando assintomático, uma vez que estabelecida complicação como neuroinfecção a morbimortalidade e risco de sequelas neurológicas aumentam substancialmente nas crianças. O caso relatado evoluiu com desfecho favorável e sem sequelas, no entanto, casos de meningite recorrente são potencialmente fatais.

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Congenital dermal sinus tract localized in the cervical region in an adult patient – Clinical case. Review of the literature

Cited by 3 publications

References 4 publications

Posterior cervical congenital dermal sinus tract: case report and review of literature

Posterior cervical congenital dermal sinus tract: case report and review of literature

Complicated congenital dermal sinus: Diagnosis and management

Meningite recorrente por Sinus Trato Dérmico Lombossacral

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