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A Girl with Life Threatening Meningitis Caused by an Infected Dermoid Cyst Derived from an Occult Dermal Sinus

Case Reports in Clinical Medicine 2014年第8期3卷 450-456页

作者： Valentina Tono Sara Bertoletti Francesca Maltese Francesco Canonico Erik Sganzerla Carlo Giussani Maria Luisa Melzi Andrea Biondi Department of Diagnostic and Interventional Radiology Ospedale S. Gerardo Monza Italy Department of Neurosurgery Ospedale S. Gerardo Monza Italy Department of Pediatrics University of Milano-Bicocca Fondazione MBBM Monza Italy

Congenital dermal sinuses are a rare entity of spinal dysraphism. Most patients have cutaneous markers of their presence, including nevus or port wine stains, dimple, hypertrichosis and subcutaneous lipoma. Inclusion tumors, such as dermoid tumor, are associated to dermal sinus tract;they are congenital, benign and slow-growing lesions of midline. Their clinical relevance is due to the possibility of causing infection, spinal abscess, signs of corde or nerve root compression. Spinal Magnetic Resonance Imaging (MRI) is the diagnostic tool of choice. We present the case of a child with atypical meningitis, resistant to large spectrum antibiotic therapy, caused by an infected dermoid cyst, undiagnosed in the first months of life despite repeated MRI.

关键词： Dermal Sinus Meningitis Dermoid Cyst Spinal dysraphism

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Acute flaccid paralysis in a patient with sacral dimple

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World Journal of Clinical Pediatrics 2013年第3期2卷 26-30页

作者： Mohammed Mostafa Nehad Nasef Tarik Barakat Amany K El-Hawary Hesham Abdel-Hady Faculty of Medicine Mansoura University Children’s Hospital Department of Pediatrics Faculty of MedicineUniversity of Mansoura

Sacral dimples are the most common cutaneous anomaly detected during neonatal spinal examination. Congenital dermal sinus tract, a rare type of spinal dysraphism, occurs along the midline neuraxis from occiput down to the sacral region. It is often diagnosed in the presence of a sacral dimple together with skin signs, local infection, meningitis, abscess, or abnormal neurological examination. We report a case of acute flaccid paralysis with sensory level in a 4 mo old female infant with sacral dimple, diagnosed by magnetic resonance imaging to be a paraspinal subdural abscess. Surgical exploration revealed a congenital dermal sinus tract extending from the subdural abscess down to the sacral dimple and open to the exterior with a minute opening.

关键词： Paralysis Paraplegia Spinal dysraphism Spinal cord compression Spinal epidural abscess

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