Advances in Therapy

, Volume 23, Issue 4, pp 543–548 | Cite as

Congenital cranial and spinal dermal sinuses: A report of 3 cases

  • Erdal Kalkan
  • Hakan Karabagli
  • Pinar Karabagli
  • Alper Baysefer


Three cases of congenital dermal sinus are presented—2 female and 1 male. Frontal, thoracic, and lumbosacral congenital dermal sinuses were explored. All patients presented with skin findings, but no neurologic deficits. The case with frontal localization was associated with a corpus callosum lipoma and dermoid tumor, and the patient presented with recurrent meningitis. The case with sacral localization was associated with an epidermoid tumor. Morphogenetic, clinical, and radiologic aspects of these cases are discussed. The midline should be carefully examined whenever a child suffers from meningitis. Dermal sinus tracts should be excised prophylactically.


dermal sinus dermoid tumor epidermoid tumor recurrent meningitis corpus callosum lipoma 


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  1. 1.
    Jindal A, Mahapatra AK. Spinal congenital dermal sinus: an experience of 23 cases over 7 years.Neurol India. 2001;49:243–246.PubMedGoogle Scholar
  2. 2.
    Dias MS, McLone DG. Normal and abnormal early development of the nervous system. In: McLone DG, Marlin AE, eds.Pediatric Neurosurgery: Surgery of the Developing Nervous System. 4th ed. Philadelphia, Pa: WB Saunders; 2001:31–72.Google Scholar
  3. 3.
    Kara NN. Spinal congenital dermal sinus associated with upper thoracic meningocele.Neurosurg Focus. 2003;15:1–3.CrossRefGoogle Scholar
  4. 4.
    Greenberg MS.Handbook of Neurosurgery. 3rd ed. Lakeland, Fla: Greenberg Graphics; 1994: 170–171.Google Scholar
  5. 5.
    Jimenez DF, Barone CM. Encephaloceles, meningoceles, and dermal sinuses. In: Albright AL, Pollack IF, Adelson PD, eds.Principles and Practice of Pediatric Neurosurgery. New York: Thieme; 1999:202–206.Google Scholar
  6. 6.
    Avelino AM, Mesiware AH, Shaw DWW. Diffusion-weighted magnetic resonance image of a pediatric spinal epidermoid cyst.Pediatr Neurol. 2001;34:325–326.CrossRefGoogle Scholar
  7. 7.
    Bardell BS, Laurence B. Congenital dermal sinus associated with meningitis: report of a fatal case.BMJ. 1951;2:1558–1561.CrossRefGoogle Scholar
  8. 8.
    Boldrey EB, Elvidge AR. Dermoid cysts of the vertebral canal.Ann Surg. 1939;110:273.PubMedCrossRefGoogle Scholar
  9. 9.
    Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts: clinical evaluation and late surgical results.J Neurosurg. 1977;47:12–18.PubMedGoogle Scholar
  10. 10.
    Walker AE, Bucy PC. Congenital dermal sinuses: a source of spinal meningeal infection and subdural abscesses.Brain. 1934;57:401.CrossRefGoogle Scholar

Copyright information

© Springer Science and Business Media and LLC 2006

Authors and Affiliations

  • Erdal Kalkan
    • 1
  • Hakan Karabagli
    • 2
  • Pinar Karabagli
    • 3
  • Alper Baysefer
    • 1
  1. 1.Medical Faculty Department of NeurosurgerySelcuk UniversityKonyaTurkey
  2. 2.Department of NeurosurgerySB Konya Numune HospitalKonyaTurkey
  3. 3.Department of PathologySB Konya Meram HospitalKonyaTurkey

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