A rare complex association of dermal sinus tract, dermoid cyst, filum terminale lipoma, tethered spinal cord and syringomyelia: A case report and literature review

Mekdes Musie Awano, Eyob Zenebe Wendimagegnehu
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Abstract

Background

Dermal sinus tract is a rare type of spinal dysraphism. It is usually associated with other types of spinal congenital anomalies. This work shows the rare co-occurrence of primary and secondary neurulation defect in a single patient.

Case presentation

We introduce a 2 year old boy who presented with a sacral dimple. He had a complex underlying spinal neural tube defect, dermal sinus tract, dermoid cyst, filum terminale lipoma, tethered spinal cord and syringomyelia. He was managed with excision of the dermal sinus tract, dermoid cyst and filum terminale lipoma with untethering of the spinal cord. He had a good post operative outcome without any neurologic deficit.

Conclusion

This case shows how a simple skin dimple can be an indicator of underlying complex spinal dysraphism. It also shows the co-occurrence of primary and secondary neurulation defect which suggests the complex nature of the neurulation process.

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真皮窦道、皮样囊肿、丝状端脂肪瘤、脊髓系带和鞘膜积液的罕见复杂并发症:病例报告和文献综述
背景皮窦道是一种罕见的脊柱发育不良。它通常伴有其他类型的脊柱先天性异常。我们介绍了一名因骶骨凹陷而就诊的 2 岁男孩。他有复杂的脊髓神经管缺损、皮窦道、皮样囊肿、丝状端脂肪瘤、脊髓系带和鞘膜积液。他接受了真皮窦道、皮样囊肿和终丝脂肪瘤切除术,并解除了脊髓拴系。该病例表明,一个简单的皮肤凹陷可能是潜在的复杂脊柱发育不良的指标。本病例还显示了原发性和继发性神经发育缺陷的同时存在,这表明了神经发育过程的复杂性。
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IF 1.2 4区 地球科学Meteorologische ZeitschriftPub Date : 1994-03-01 DOI: 10.1127/metz/3/1994/3
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发文量
236
审稿时长
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