• Pediatric neurosurgery · Jan 2012

    Case Reports

    Spinal congenital dermal sinus presenting as a diagnostic conundrum.

    • Abhisek Chopra, Bijoy Patra, Satinder Aneja, Sharmilla Mukherjee, Anu Maheswari, and Anju Seth.
    • Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India.
    • Pediatr Neurosurg. 2012 Jan 1; 48 (3): 187-90.

    AbstractSpinal congenital dermal sinus is a rare entity. Still rarer is its location over the thoracic and cervical spine. Secondary to congenital dermal sinus, intramedullary abscesses of the spinal cord are uncommon. Only few cases of such an association have been reported in the literature. We report such an interesting case of thoracic spinal congenital dermal sinus associated with intramedullary abscess in an 18-month-old boy who presented with a diagnostic conundrum. The pathogenesis, clinical presentation, neuroimaging and management of such cases are discussed. Awareness, detection, timely referral and definitive operative intervention for a better neurological outcome are emphasized.Copyright © 2012 S. Karger AG, Basel.

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