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Hydrocephalus in intraspinal dermoids and dermal sinuses: the spectrum of an uncommon association in children.
Childs Nerv Syst. 2006 Jul; 22(7):698-703.CN

Abstract

BACKGROUND

Hydrocephalus associated with intraspinal tumors constitutes a well-documented occurrence. The accepted mechanisms for this association seem to be well established. On the contrary, hydrocephalus in the context of intraspinal dermoids has been rarely recognized and its pathogenetic mechanism appears to be different.

PATIENTS AND METHODS

The authors report four pediatric cases of spinal dermoid tumors and dermal sinuses that developed hydrocephalus during the evolution of these congenital lesions of ectodermal origin.

DISCUSSION

In two children, the mechanism leading to the development of hydrocephalus consisted of leptomeningeal inflammation due to bacterial meningitis or to spillage of dermoid cyst contents in the cerebrospinal fluid spaces. We hypothesize that ventricular dilatation in the other two might be the result of chemical meningitis occurring during intrauterine life. Two cases developed ventriculomegaly prior to the diagnosis of their spinal cord disease.

CONCLUSIONS

The unusual evolution of these cases suggests that neuroimaging studies that include the spine should be performed in cases of childhood "unexplained hydrocephalus".

Authors+Show Affiliations

Regional Service of Neurosurgery, Virgen de la Arrixaca University Hospital, El Palmar, 30120, Murcia, Spain. juanf.martinezlage@carm.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16404641

Citation

Martínez-Lage, Juan F., et al. "Hydrocephalus in Intraspinal Dermoids and Dermal Sinuses: the Spectrum of an Uncommon Association in Children." Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, vol. 22, no. 7, 2006, pp. 698-703.
Martínez-Lage JF, Pérez-Espejo MA, Tortosa JG, et al. Hydrocephalus in intraspinal dermoids and dermal sinuses: the spectrum of an uncommon association in children. Childs Nerv Syst. 2006;22(7):698-703.
Martínez-Lage, J. F., Pérez-Espejo, M. A., Tortosa, J. G., Ros de San Pedro, J., & Ruiz-Espejo, A. M. (2006). Hydrocephalus in intraspinal dermoids and dermal sinuses: the spectrum of an uncommon association in children. Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 22(7), 698-703.
Martínez-Lage JF, et al. Hydrocephalus in Intraspinal Dermoids and Dermal Sinuses: the Spectrum of an Uncommon Association in Children. Childs Nerv Syst. 2006;22(7):698-703. PubMed PMID: 16404641.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hydrocephalus in intraspinal dermoids and dermal sinuses: the spectrum of an uncommon association in children. AU - Martínez-Lage,Juan F, AU - Pérez-Espejo,Miguel A, AU - Tortosa,José G, AU - Ros de San Pedro,Javier, AU - Ruiz-Espejo,Antonio M, Y1 - 2006/01/11/ PY - 2004/12/05/received PY - 2006/1/13/pubmed PY - 2007/1/4/medline PY - 2006/1/13/entrez SP - 698 EP - 703 JF - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JO - Childs Nerv Syst VL - 22 IS - 7 N2 - BACKGROUND: Hydrocephalus associated with intraspinal tumors constitutes a well-documented occurrence. The accepted mechanisms for this association seem to be well established. On the contrary, hydrocephalus in the context of intraspinal dermoids has been rarely recognized and its pathogenetic mechanism appears to be different. PATIENTS AND METHODS: The authors report four pediatric cases of spinal dermoid tumors and dermal sinuses that developed hydrocephalus during the evolution of these congenital lesions of ectodermal origin. DISCUSSION: In two children, the mechanism leading to the development of hydrocephalus consisted of leptomeningeal inflammation due to bacterial meningitis or to spillage of dermoid cyst contents in the cerebrospinal fluid spaces. We hypothesize that ventricular dilatation in the other two might be the result of chemical meningitis occurring during intrauterine life. Two cases developed ventriculomegaly prior to the diagnosis of their spinal cord disease. CONCLUSIONS: The unusual evolution of these cases suggests that neuroimaging studies that include the spine should be performed in cases of childhood "unexplained hydrocephalus". SN - 0256-7040 UR - https://www.unboundmedicine.com/medline/citation/16404641/Hydrocephalus_in_intraspinal_dermoids_and_dermal_sinuses:_the_spectrum_of_an_uncommon_association_in_children_ L2 - https://doi.org/10.1007/s00381-005-0029-8 DB - PRIME DP - Unbound Medicine ER -