Spinal Dermal Sinus Associated with Intramedullary Abscess and Dermoid

Morimoto, Kazuyoshi; Takemoto, Osamu; Nakamura, Hajime; Takeuchi, Makoto

doi:10.1159/000072478

Cited by 22 publications

(16 citation statements)

References 2 publications

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“…As a part of routine clinical examination; all newborns should be checked for the presence of dermal sinus or other congenital defects. Once it is discovered; prophylactic surgical resection is highly advocated by many authors, regardless of age, to avoid serious neurosurgical complications [16][17][18]. Should the abscess occurred, suitable intravenous antimicrobial agents and prompt surgical evacuation through a limited laminectomy and myelotomy with copious irrigation with normal saline is considered the treatment of choice simultaneously, any concomitant abnormalities should also be treated during the surgery.…”

Section: Discussionmentioning

confidence: 99%

Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes

et al. 2009

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Intramedullary spinal cord abscess (ISCA) in children is extremely a rare infection of the central nervous system (CNS); and probably a devastating neurological condition. Clinical awareness of patients at risk is crucial for early diagnosis and intervention; as this entity is one of the treatable conditions of paraparesis. Association with congenital neuro-ectodermal abnormality in children is frequent. This pathology highlights the importance of complete neurological checks of infants as a part of their routine physical examination and early management of patients with congenital dermal sinus, prophylactic surgical resection of such a congenital anomaly is recommended by most authors to prevent serious infections of the CNS. However, once the abscess is established; immediate surgical drainage along side adequate antibiotics should be instituted. This may guarantee improving neurological outcome. In this communication, the authors present their experience with four cases of ISCA in children treated successfully with surgical drainage, intravenous antibiotics and neuro rehabilitation between 2001 and 2006 and discuss their results. We concluded that early diagnosis and treatment is essential; before a devastating mechanico-vascular insult of the spinal cord is established from rapid formation of the abscess and a swift expansion of the spinal cord within the limited intraspinal space.

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Section: Discussionmentioning

confidence: 99%

Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes

et al. 2009

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“…Wang et al [1] observed five cases out of which only one had a dermoid cyst at D6-D7 level in association with DDS. Morimoto et al [2] reported a 1-month-old child who presented with a dimple over the lumbosacral junction discharging pus having DDS in association with intramedullary abscess and dermoid at D12-S1 level. In asymptomatic patient, the physical examination and MR imaging help in diagnosing at an earlier stage and preventing future complications.…”

Section: Discussionmentioning

confidence: 99%

Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst

et al. 2019

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Dorsal dermal sinus (DDS) is an uncommon type of occult spinal dysraphism most often located in the lumbar region. Patients present either due to secondary infection or compression of neural structures by an associated dermoid or epidermoid cyst. We report a rare case of 2-year-old child who presented with progressive paraparesis with magnetic resonance imaging of spine showing a thoracic DDS with an infected intramedullary dermoid cyst. Partial excision of the dermoid cyst and resection of the sinus opening was done with partial clinical improvement postsurgery.

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“…Therefore, the midline skin should be inspected carefully when a child suffers repeated episodes of unexplained meningitis. [111] Morimoto et al .,[12] reported CDS in association with intramedullary abscess and dermoid at T12–S1 level in a 1-month-old child who presented with a dimple over the lumbosacral junction discharging pus.…”

Section: Discussionmentioning

confidence: 99%

Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst

Mishra

Panigrahi

2014

J Pediatr Neurosci

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Dorsal dermal sinus is a rare, congenital lesion found most frequently in the lumbosacral followed by the occipital regions. It is rarely localized at the thoracic level. We report a rare case of thoracic congenital dermal sinus (CDS) associated with an intramedullary dermoid cyst in a 2-year-old male child, who presented with a 3 month history of motor weakness of both the lower extremities. Magnetic resonance imaging (MRI) of spine showed an intramedullary dermoid cyst extending from the lower border of T4 to upper border of T7, which was connected with the skin dimple along the sinus tract. Total excision of the dermoid cyst and the sinus tract with T5–7 laminectomy resulted in good functional recovery.

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Spinal Dermal Sinus Associated with Intramedullary Abscess and Dermoid

Cited by 22 publications

References 2 publications

Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes

Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes

Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst

Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst

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