Abstract
The term meningocele manqué (MM) was coined in 1972 to describe a broad range of surgical findings characterized by intradural bands tethering neural structures to the dorsal dura. Over the following decades, reports continued to lump intradural tethering bands associated with a variety of comorbidities under the umbrella term MM. In more recent years, disorders previously called MM have been identified as embryologically distinct and have been reclassified. While this continues, there remains a set of intradural tethering disorders for which there is no better term than MM. Herein, we comprehensively review the literature surrounding MM including its embryology, its clinical, radiographic, and surgical presentation, and alternative classification methods and treatment.
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References
James CCM, Lassman LP. Spinal dysraphism: spina bifida occulta. London: Butterworth-Heinemann; 1972.
Lassman LP, James CC. Meningocoele manque. Childs Brain. 1977;3:1–11.
Kriss VM, Kriss TC, Warf BC. Dorsal tethering bands of the meningocele manque: sonographic findings. AJR Am J Roentgenol. 1996;167:1293–4.
Steinbok P. Dysraphic lesions of the cervical spinal cord. Neurosurg Clin N Am. 1995;6:367–76.
Tubbs RS, McGirt MJ, Warder DE, Oakes WJ. Neurological presentation and long-term outcome following operative intervention in patients with meningocele manque. Br J Neurosurg. 2003;17:230–3.
Pang D, Zovickian J, Oviedo A, Moes GS. Limited dorsal myeloschisis: a distinctive clinicopathological entity. Neurosurgery. 2010;67:1555–79. discussion 1579–1580
Rajpal S, Salamat MS, Tubbs RS, Kelly DR, Oakes WJ, Iskandar BJ. Tethering tracts in spina bifida occulta: revisiting an established nomenclature. J Neurosurg Spine. 2007;7:315–22.
Pang D. Ventral tethering in split cord malformation. Neurosurg Focus. 2001;10:e6.
French BN. The embryology of spinal dysraphism. Clin Neurosurg. 1983;30:295–340.
Hertzler DA 2nd, DePowell JJ, Stevenson CB, Mangano FT. Tethered cord syndrome: a review of the literature from embryology to adult presentation. Neurosurg Focus. 2010;29:E1.
Dias MS, Walker ML. The embryogenesis of complex dysraphic malformations: a disorder of gastrulation? Pediatr Neurosurg. 1992;18:229–53.
Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: a unified theory of embryogenesis for double spinal cord malformations. Neurosurgery. 1992;31:451–80.
Kaffenberger DA, Heinz ER, Oakes JW, Boyko O. Meningocele manqué: radiologic findings with clinical correlation. Am J Neuroradiol. 1992;13:1083–8.
Schropp C, Sörensen N, Collmann H, Krauss J. Cutaneous lesions in occult spinal dysraphism—correlation with intraspinal findings. Childs Nerv Syst. 2006;22:125–31.
Nishimoto H, Kurihara J, Kishimoto H, Takezawa Y. Surgical and pathological findings of meningocele manque. Nerv Syst Child. 2006;31:298–303.
Anderson FM. Occult spinal dysraphism: a series of 73 cases. Pediatrics. 1975;55:826–35.
Cochrane DD, Haslam RH, Myles ST. Cervical neuroschisis and meningocoele manque in type I (no neck) Klippel-Feil syndrome. Pediatr Neurosurg. 1990;16:174–8.
Holtzman RN, Stein BM. The tethered spinal cord. New York: Thieme-Stratton Corp; 1985.
Iskandar BJ, Oakes J, McLaughlin C, Osumi AK, Tien RD. Terminal syringohydromyelia and occult spinal dysraphism. J Neurosurg. 1994;81:513–9.
van Aalst J, Beuls EA, Cornips EM, van Straaten HW, Boselie AF, Rijkers K, Weber JW, Vles JS. The spinal dermal-sinus-like stalk. Childs Nerv Syst. 2009;25:191–7.
Martinez-Lage JF, Almagro MJ, Ferri-Niguez B, Izura Azanza V, Serrano C, Domenech E. Spinal dermal sinus and pseudo-dermal sinus tracts: two different entities. Childs Nerv Syst. 2011;27:609–16.
Eibach S, Moes G, Zovickian J, Pang D. Limited dorsal myeloschisis associated with dermoid elements. Childs Nerv Syst. 2017;33:55–67.
Lee SM, Cheon JE, Choi YH, Kim IO, Kim WS, Cho HH, Lee JY, Wang KC. Limited dorsal myeloschisis and congenital dermal sinus: comparison of clinical and MR imaging features. AJNR Am J Neuroradiol. 2017;38:176–82.
Pang D, Zovickian J, Wong ST, Hou YJ, Moes GS. Limited dorsal myeloschisis: a not-so-rare form of primary neurulation defect. Childs Nerv Syst. 2013;29:1459–84.
Cornips EM, Weber JW, Vles JS, van Aalst J. Pseudo-dermal sinus tract or spinal dermal-sinus-like stalk? Childs Nerv Syst. 2011;27:1189–91. author reply 1193
De Vloo P, Lagae L, Sciot R, Demaerel P, van Loon J, Van Calenbergh F. Spinal dermal sinuses and dermal sinus-like stalks analysis of 14 cases with suggestions for embryologic mechanisms resulting in dermal sinus-like stalks. Eur J Paediatr Neurol. 2013;17:575–84.
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Schmidt, C., Tubbs, R.S. (2019). Meningocele Manqué. In: Tubbs, R., Oskouian, R., Blount, J., Oakes, W. (eds) Occult Spinal Dysraphism. Springer, Cham. https://doi.org/10.1007/978-3-030-10994-3_13
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