RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0043-1774377
Infant Rudimentary Meningocele with Tethering of the Cervical Cord: A Case Report
Autor*innen
Abstract
Rudimentary meningoceles of the spine with dural extension are very rare and warrant surgical excision to prevent infection and long-term neurological deficits in pediatric patients. We present the case of a 5-month-old infant with a tethered spinal cord secondary to a rudimentary meningocele. The patient presented shortly after birth with a midline cervical dimple that was evaluated for a suspected dermal sinus tract. Magnetic resonance imaging scan of the spine showed a sinus tract with intradural extension to C2-3 and external opening at the level of spinous process C5. En bloc surgical excision and spinal cord release were successfully performed. Histological analysis of the specimen confirmed the presence of two blunt sinus tracts and staining was consistent with a rudimentary meningocele. Intradural rudimentary meningoceles in infants can successfully be managed with surgical intervention. Surgery is indicated to prevent future motor complications from spinal cord tethering and neoplastic growth from the rudimentary meningocele.
Authors' Contributions
RMS and JSH conceptualized and designed the study. RMS drafted the manuscript. JSH, SH, AL, DPF, HWP, and RGK critically evaluated the manuscript. RGK approved the final version to be published. All the authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved
Ethics
Study approval statement: This study protocol was reviewed and approved by the University of Pittsburgh Institutional Review Board.
Consent
Informed consent was obtained for the publication of this case and associated images.
Publikationsverlauf
Artikel online veröffentlicht:
13. September 2023
© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Wang H, Yu W, Zhang Z, Lu Y, Li X. Cervical rudimentary meningocele in adulthood. J Neurosurg Spine 2013; 18 (05) 511-514
- 2 Ochiai J, Yamaguchi S, Takeda M. et al. A case of cutaneous meningioma in the rudimentary meningocele. Hiroshima J Med Sci 2016; 65 (01) 9-12
- 3 El Shabrawi-Caelen L, White WL, Soyer HP, Kim BS, Frieden IJ, McCalmont TH. Rudimentary meningocele: remnant of a neural tube defect?. Arch Dermatol 2001; 137 (01) 45-50
- 4 Mazloom SE, Holliday AC, Coman GC, Chavan RN, Kolodney MS, Grider DJ. Type I cutaneous meningioma (rudimentary meningocele) with intradural attachment to the phylum terminale. Am J Dermatopathol 2016; 38 (12) 927-929
- 5 Radmanesh F, Nejat F, El Khashab M. Dermal sinus tract of the spine. Childs Nerv Syst 2010; 26 (03) 349-357