Zelletta Nicola1, Calace Antonio, Antonio De Tommasi. 1. Dipartimento di Neurochirurgia, Università degli Studi di Bari, Piazzale Giulio Cesare, Bari, 70124, Italy, nicolazelletta@yahoo.it.
Abstract
BACKGROUND: Dermal sinus tract (DST) is an uncommon spinal dysraphism presenting in childhood along the midline neuroaxis. Cervical DST less frequent is in association with intramedullary abscess. METHODS: A 9-month-old baby was admitted to our unit suffering from right hemiparesis. Physical examination showed a cervical midline cutaneous fistula dripping a yellowish thick liquid. Cervical MRI showed at C5 level a sinus tract in continuity with a C3-C6 intramedullary lesion. Total removal of the fistula and the intramedullary lesion was performed. Histopathological examination confirmed the diagnosis of dermal sinus and abscess. RESULTS: Post-operative cervical MRI showed a complete removal of the spinal dysraphism, fistula, and intramedullary abscess. The baby showed a progressive clinical improvement and was discharged on day 10 post-surgery. CONCLUSION: Literature review confirms that an early diagnosis followed by prompt surgical spinal cord decompression gives a functional neurological recovery.
BACKGROUND: Dermal sinus tract (DST) is an uncommon spinal dysraphism presenting in childhood along the midline neuroaxis. Cervical DST less frequent is in association with intramedullary abscess. METHODS: A 9-month-old baby was admitted to our unit suffering from right hemiparesis. Physical examination showed a cervical midline cutaneous fistula dripping a yellowish thick liquid. Cervical MRI showed at C5 level a sinus tract in continuity with a C3-C6 intramedullary lesion. Total removal of the fistula and the intramedullary lesion was performed. Histopathological examination confirmed the diagnosis of dermal sinus and abscess. RESULTS: Post-operative cervical MRI showed a complete removal of the spinal dysraphism, fistula, and intramedullary abscess. The baby showed a progressive clinical improvement and was discharged on day 10 post-surgery. CONCLUSION: Literature review confirms that an early diagnosis followed by prompt surgical spinal cord decompression gives a functional neurological recovery.
Authors: Bartosz Szmyd; Redwan Jabbar; Weronika Lusa; Filip Franciszek Karuga; Agnieszka Pawełczyk; Maciej Błaszczyk; Jakub Jankowski; Julia Sołek; Grzegorz Wysiadecki; R Shane Tubbs; Joe Iwanaga; Maciej Radek Journal: J Clin Med Date: 2022-08-04 Impact factor: 4.964
Authors: Paulo Eduardo Albuquerque Zito Raffa; Rafael Caiado Caixeta Vencio; Andre Costa Corral Ponce; Bruno Pricoli Malamud; Isabela Caiado Vencio; Cesar Cozar Pacheco; Felipe D'Almeida Costa; Paulo Roberto Franceschini; Roger Thomaz Rotta Medeiros; Paulo Henrique Pires Aguiar Journal: Surg Neurol Int Date: 2021-06-14