The spectrum of imaging in Currarino triad

Riebel, T.; Mäurer, J.; Teichgräber, Ulf; Bassir, C.

doi:10.1007/s003300050846

Cited by 27 publications

(32 citation statements)

References 15 publications

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“…Approximately 300 similar cases have been reported to date in the literature[1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25]. The majority of these lesions have been reported as sporadic, isolated cases.…”

Section: Discussionmentioning

confidence: 90%

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Currarino Triad: Surgical Management and Follow-Up Results of Three Cases

Isik¹,

Elmacı²,

Gökben³

et al. 2010

Pediatr Neurosurg

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The Currarino syndrome is a rare triad that is a combination of a presacral mass, a congenital sacral bony abnormality and an anorectal malformation. We present 4 children with complete Currarino triad who were diagnosed using MRI. Our aim was to report the neurosurgical management of Currarino syndrome in children. All of the patients had chronic constipation and pain in the lumbosacral region. In the plain radiograph, 3 patients had a sacral scimitar-shaped bony abnormality, and 1 patient had total sacral agenesis. There was a narrow anal canal or narrow ventrally displaced anus in all patients. Their anorectal malformations were characterized as anal stenoses (4 patients), associated with Hirschsprung’s disease in 2 cases. In 3 patients, MRI showed tethered cord syndrome in addition to the presacral mass. There was hydrocephalus in 1 patient. Anal stenosis was treated by anal dilatation. In 2 patients, rectal biopsy and temporary colostomy (2 patients) had been performed previously due to Hirschsprung’s disease. We performed a posterior procedure via lumbar and sacral partial laminectomy-laminoplasty and transdural ligation of the neck of the meningocele for anterior sacral meningoceles, or alternatively, tumor excision for other types of presacral lesions. Histopathologically, 3 were cases of anterior sacral meningoceles and 1 was a teratoma. One of them also had a spinal abscess. He required reoperation (twice) and appeared at the time to have improved with medical therapy. All patients improved and stabilized. There were no additional neurological deficits and no recurrence of the presacral mass over the follow-up period (6 years, on average). The family pedigree did not reveal any familial transmission pattern. In cases of Currarino triad, MRI can allow the characterization of the presacral masses. If it is an anterior sacral meningocele or a solid tumor without severe anorectal malformation, it can be managed with posterior lumbar and sacral procedures. Such approaches are performed easily by transdural ligation of the neck of the anterior sacral meningocele or through tumor excision.

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Section: Discussionmentioning

confidence: 90%

“…However, this population typically includes enteric cysts, dermoid cysts, lipomas, leiomyosarcomas, yolk sac tumors, pelvic hematomas and carcinoid tumors in neurosurgical practice [5,24,25,28,32]. MRI of the patients with ASM revealed an intensity characteristic of CSF in the cyst.…”

Section: Discussionmentioning

confidence: 99%

Currarino Triad: Surgical Management and Follow-Up Results of Three Cases

Isik¹,

Elmacı²,

Gökben³

et al. 2010

Pediatr Neurosurg

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“…11,[14][15][16][17]19,20) The most frequent symptom is constipation (67%) followed by urination difficulty (9%) in pediatric cases, but various symptoms seen in adult cases. The frequency of constipation associated with anorectal malformation is lower in adult cases.…”

Section: Discussionmentioning

confidence: 99%

“…4) The presacral mass is most frequently a teratoma (18% of cases) or an anterior sacral meningocele (69%), whereas neurenteric cysts or dermoid (3%) and epidermoid cysts (1%) are unusual. 10,11,[14][15][16][17]19,20) The mass is associated with a hemisacral or scimitar sacral defect, but segmentation anomalies are less common. The anorectal malformation is usually either anal stenosis or atresia.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Meningitis Associated With Complete Currarino Triad in an Adult-Case Report-

Haga

Cho²,

Shinoda³

et al. 2003

Neurol. Med. Chir.(Tokyo)

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A 58-year-old woman presented with Currarino triad manifesting as recurrent meningitis. Currarino triad is a combination of a presacral mass, a congenital sacral bony abnormality, and an anorectal malformation, which is caused by dorsal-ventral patterning defects during embryonic development. She had a history of treatment for anal stenosis in her childhood. Radiographic examinations demonstrated the characteristic findings of Currarino triad and a complicated mass lesion. The diagnosis was recurrent meningitis related to the anterior sacral meningocele. Neck ligation of the meningocele was performed via a posterior transsacral approach after treatment with antibiotics. At surgery, an epidermoid cyst was observed inside the meningocele. The cyst content was aspirated. She suffered no further episodes of meningitis. The meningitis was probably part of the clinical course of Currarino triad. Radiography of the sacrum and magnetic resonance imaging are recommended for patients with meningitis of unknown origin. The early diagnosis and treatment of this condition are important.

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“…Patients should be referred for genetic counselling and their close relatives offered screening (2,3,12,30,31). Before genetic diagnostics became available, it was recommended that the examination of parents, siblings and children begin with X-ray of the sacrum (2,3,12).…”

Section: Geneticsmentioning

confidence: 99%