Dermoid cysts revealed by meningitis with medullary compression

UNLABELLED: The spinal dermal sinus tracts in the lumbosacral region are not usually recognized, especially when they are not associated with other cutaneous lesions. In these sites, the sinus tracts communicate with the dura in 90% of cases, leading to an important risk of meningitis.

CASE REPORTS: Two infants (9 and 12 months old) were hospitalized for meningitis. The hospitalization was preceded two weeks earlier by stubborn constipation, which revealed a neural compression. The physical and MRI examination showed a lumbosacral sinus in contact with a dermoid or an epidermoid tumor. These cysts were infected with anaerobic organisms. Despite surgery and antibiotic therapy, one child remained paraplegic.

CONCLUSION: Dermal sinuses above the intergluteal crease should be surgically excised at the time of diagnosis in all patients, regardless of the patient's age or neurologic findings.

Medienart:

Artikel

Erscheinungsjahr:

2001

Erschienen:

2001

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie - 8(2001), 5 vom: 15. Mai, Seite 499-503

Sprache:

Französisch

Weiterer Titel:

Kystes dermoïdes révélés par une méningite avec compression médullaire

Beteiligte Personen:

Raqbi, F [VerfasserIn]
Zérah, M [VerfasserIn]
Bodemer, C [VerfasserIn]
Lenoir, G [VerfasserIn]

Themen:

Case Reports
English Abstract
Journal Article

Anmerkungen:

Date Completed 12.07.2001

Date Revised 01.09.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM113006918