Congenital Dermal Sinus Tract of the Spine

Mete, Mesut; Umur, Ahmet Şükrü; Duransoy, Yusuf Kurtuluş; Barutçuoğlu, Mustafa; Umur, Nurcan; Gürgen, Seren Gülşen; Selçukı, Mehmet

doi:10.1177/0883073813520501

Cited by 32 publications

(36 citation statements)

References 10 publications

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“…Spinal dorsal dermal sinus tract (DST) is a rare congenital dysraphism that occurs in approximately one in every 2500 live births. [ 1 7 12 17 18 ] It includes a tract lined by epithelium, which traverse for a variable depth into the underlying structures and in many instances, terminate within the thecal sac. [ 2 3 ] They are seen more frequently at the extremes of neuraxis with the majority of spinal DSTs occurring in the lumbosacral region.…”

Section: Introductionmentioning

confidence: 99%

“…There are few published series in literature which emphasize mainly the mode of presentation, radiological findings, associated anomalies and treatment; however, the symptom wise outcome is not studied in detail. [ 1 3 6 12 17 18 ] The present study was undertaken to know the clinical profile, associated anomalies and detailed symptom wise outcome of the patients presenting with spinal DST.…”

Section: Introductionmentioning

confidence: 99%

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Spinal dorsal dermal sinus tract: An experience of 21 cases

et al. 2015

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Background:Spinal dorsal dermal sinus is a rare entity, which usually comes to clinical attention by cutaneous abnormalities, neurologic deficit, and/or infection. The present study was undertaken to know the clinical profile of these patients, to study associated anomalies and to assess the results of surgical intervention.Methods:Medical records of 21 patients treated for spinal dorsal dermal sinus from September 2007 to December 2013 were reviewed.Results:We had 21 patients with male: female ratio of 13:8. Only 2 patients were below 1-year of age, and most cases (15) were between 2 and 15 years (mean age = 8.2 years). Lumbar region (11 cases) was most frequently involved, followed by thoracic (4 cases), lumbosacral, and cervical region in 3 patients each. All of our patients presented with neurological deficits. Three patients were admitted with acute meningitis with acute onset paraplegia and had intraspinal abscess. The motor, sensory, and autonomic deficits were seen in 14, 6, and 8 patients, respectively. Scoliosis and congenital talipes equinovarus were the common associated anomalies. All patients underwent surgical exploration and repair of dysraphic state and excision of the sinus. Overall, 20 patients improved or neurological status stabilized and only 1 patient deteriorated. Postoperative wound infection was seen in 2 cases.Conclusions:All patients with spinal dorsal dermal sinuses should be offered aggressive surgical treatment in the form of total excision of sinus tract and correction of spinal malformation, as soon as diagnosed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Spinal dorsal dermal sinus tract: An experience of 21 cases

et al. 2015

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“…These sinuses end blindly with no extension so it is not necessary to perform a radiological evaluation. The operation only needed if the background of the sinuses not displayed, to prevent future infections (1) Many publications on spinal dermal sinuses, emphasized that despite their benign external appearance, these lesions are capable of producing serious neurologic deficits disease due to meningitis, spinal cord compression, and infected dermoid cysts, as occurred in a large part of our cases (5)(6)(7)(8)(9) Medical records of our patients with dermal sinuses were analyzed and revealed 53-cases.All had a cutaneous orifice in the mid line Figure 2 . Regarding the anatomical segment involved our results compared to what has been reported in the literature (3,10 ,15) Results are shown in the chart Figure1.…”

Section: Discussionmentioning

confidence: 98%

Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Center

Khasawneh¹,

Qroom²,

Fayyad³

2017

JRMS

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The aim of this study is to investigate the corresponding variables: age, sex, the reason for consultation, clinical manifestations, location, methods of diagnosis, time of surgery, type of surgery, histological diagnosis, the presence of infection and subsequent evolution, with baseline comparison of our findings to those reported in the literature. Methods: A retrospective analysis carried out of the medical records of all the patients presented with spinal dermal sinuses cases treated surgically in our setup over a period of 10-years. From January 2005 to January 2015, at King Hussein Medical Center. The mean follow up was 87 months (14-109 months). Results: The study group included 53 consecutive patients who were managed in a single center. Male : female ratio was 28:25. Mean age was 3.4 years, ranging from one month to 15 years. The mean follow up was 87 months (14-109 months). Anatomically the majority of the treated sinuses occurred in lumbar region 37-cases, representing 69.8 % of cases. 83% progressed satisfactorily. Conclusion: Spinal dermal sinuses are a rare entity that may progress to a serious neurological condition. Early detection and management have good outcomes. The Paediatrician has a crucial role in diagnosis. Surgery aims to excise the sinus tract completely, excisable skin tags, and correct the dysraphic state in the same setting.

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“…Since a dermal sinus tract which terminates intrathecally is high-risk for complications of CNS infection, medical consensus is that lesions above the sacrococcygeal level be explored to the terminus and excised [7]. Prompt surgical management of the malformation is critical to preserve and possibly improve neurological function in up to 95% of cases [5].…”

Section: Discussionmentioning

confidence: 99%

Secondary Myelitis in Dermal Sinus Causing Paraplegia in a Child with Previously Normal Neurological Function

Rashid

Kinabo

Kellogg

et al. 2016

Case Reports in Neurological Medicine

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Neural tube defects result from failure of neural tube fusion during early embryogenesis, the fourth week after conception. The spectrum of severity is not uniform across the various forms of this congenital anomaly as certain presentations are not compatible with extrauterine life (anencephaly) while, on the other hand, other defects may remain undiagnosed as they are entirely asymptomatic (occult spina bifida). We report a child with previously normal neurological development, a devastating clinical course following superinfection of a subtle spina bifida defect which resulted in a flaccid paralysis below the level of the lesion and permanent neurological deficits following resolution of the acute infection and a back closure surgery.

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Congenital Dermal Sinus Tract of the Spine

Cited by 32 publications

References 10 publications

Spinal dorsal dermal sinus tract: An experience of 21 cases

Spinal dorsal dermal sinus tract: An experience of 21 cases

Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Center

Secondary Myelitis in Dermal Sinus Causing Paraplegia in a Child with Previously Normal Neurological Function

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