Abstract
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.
Similar content being viewed by others
References
Jindal A, Mahapatra AK. Spinal congenital dermal sinus: an experience of 23 cases over 7 years.Neurol India. 2001;49:243–246.
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.
Kara NN. Spinal congenital dermal sinus associated with upper thoracic meningocele.Neurosurg Focus. 2003;15:1–3.
Greenberg MS.Handbook of Neurosurgery. 3rd ed. Lakeland, Fla: Greenberg Graphics; 1994: 170–171.
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.
Avelino AM, Mesiware AH, Shaw DWW. Diffusion-weighted magnetic resonance image of a pediatric spinal epidermoid cyst.Pediatr Neurol. 2001;34:325–326.
Bardell BS, Laurence B. Congenital dermal sinus associated with meningitis: report of a fatal case.BMJ. 1951;2:1558–1561.
Boldrey EB, Elvidge AR. Dermoid cysts of the vertebral canal.Ann Surg. 1939;110:273.
Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts: clinical evaluation and late surgical results.J Neurosurg. 1977;47:12–18.
Walker AE, Bucy PC. Congenital dermal sinuses: a source of spinal meningeal infection and subdural abscesses.Brain. 1934;57:401.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kalkan, E., Karabagli, H., Karabagli, P. et al. Congenital cranial and spinal dermal sinuses: A report of 3 cases. Adv Therapy 23, 543–548 (2006). https://doi.org/10.1007/BF02850043
Issue Date:
DOI: https://doi.org/10.1007/BF02850043