Tags

Type your tag names separated by a space and hit enter

[Sacrococcygeal dermal sinus presented bacterial meningitis: a case report].
No To Shinkei. 2006 May; 58(5):443-7.NT

Abstract

A rare case of sacrococcygeal dermal sinus suffering from relapsing meningitis is presented. In addition, deference of clinical figure and pathology between sacrococcygeal region and other regions are discussed. A 10 -month-old boy was suffering from relapsing meningitis. Spinal MRI was performed to find occult spinal dysraphism because he had a pit on his hip. The MRI revealed sacrococcygeal dermal sinus. He received surgical resection of dermal sinus based on this findings. Interestingly, different from other dermal sinuses, the dermal sinus runs to caudal direction, and was fused filum terminale with dermoid cyst. This interesting pathological feature of sacrococcygeal dermal sinus seems to come from developmental difference between sacrococcygeal dermal sinus and the other dermal sinuses. Only sacrococcygeal dermal sinus is related with caudal cell mass on its pathogenesis. Because filum terminale is also developed from caudal cell mass, sacrococcygeal dermal sinus seems to be related with filum terminale. Most important differential diagnosis is coccygeal pit that is found in 1 -4% of newborn baby. The clinical feature and pathology got from our case must be very helpful to distinguish sacrococcygeal dermal sinus from coccygeal pit.

Authors+Show Affiliations

Department of Neurosurgery, Yamagata University Faculty of Medicine, 2-2 2 Iida-nishi, Yamagata 990-9585, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

16780058

Citation

Ito, Miiko, et al. "[Sacrococcygeal Dermal Sinus Presented Bacterial Meningitis: a Case Report]." No to Shinkei = Brain and Nerve, vol. 58, no. 5, 2006, pp. 443-7.
Ito M, Sakurada K, Kokubo Y, et al. [Sacrococcygeal dermal sinus presented bacterial meningitis: a case report]. No To Shinkei. 2006;58(5):443-7.
Ito, M., Sakurada, K., Kokubo, Y., Sato, S., & Kayama, T. (2006). [Sacrococcygeal dermal sinus presented bacterial meningitis: a case report]. No to Shinkei = Brain and Nerve, 58(5), 443-7.
Ito M, et al. [Sacrococcygeal Dermal Sinus Presented Bacterial Meningitis: a Case Report]. No To Shinkei. 2006;58(5):443-7. PubMed PMID: 16780058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sacrococcygeal dermal sinus presented bacterial meningitis: a case report]. AU - Ito,Miiko, AU - Sakurada,Kaori, AU - Kokubo,Yasuaki, AU - Sato,Shinya, AU - Kayama,Takamasa, PY - 2006/6/20/pubmed PY - 2006/8/2/medline PY - 2006/6/20/entrez SP - 443 EP - 7 JF - No to shinkei = Brain and nerve JO - No To Shinkei VL - 58 IS - 5 N2 - A rare case of sacrococcygeal dermal sinus suffering from relapsing meningitis is presented. In addition, deference of clinical figure and pathology between sacrococcygeal region and other regions are discussed. A 10 -month-old boy was suffering from relapsing meningitis. Spinal MRI was performed to find occult spinal dysraphism because he had a pit on his hip. The MRI revealed sacrococcygeal dermal sinus. He received surgical resection of dermal sinus based on this findings. Interestingly, different from other dermal sinuses, the dermal sinus runs to caudal direction, and was fused filum terminale with dermoid cyst. This interesting pathological feature of sacrococcygeal dermal sinus seems to come from developmental difference between sacrococcygeal dermal sinus and the other dermal sinuses. Only sacrococcygeal dermal sinus is related with caudal cell mass on its pathogenesis. Because filum terminale is also developed from caudal cell mass, sacrococcygeal dermal sinus seems to be related with filum terminale. Most important differential diagnosis is coccygeal pit that is found in 1 -4% of newborn baby. The clinical feature and pathology got from our case must be very helpful to distinguish sacrococcygeal dermal sinus from coccygeal pit. SN - 0006-8969 UR - https://www.unboundmedicine.com/medline/citation/16780058/[Sacrococcygeal_dermal_sinus_presented_bacterial_meningitis:_a_case_report]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0006-8969&rft.volume=58&rft.issue=5&rft.spage=443 DB - PRIME DP - Unbound Medicine ER -