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[Case of a large intra and extra medullary abscess of the spinal cord due to dermal sinus].
No Shinkei Geka. 2008 Dec; 36(12):1127-32.NS

Abstract

Congenital dermal sinuses, resulting from abnormal neurulation, are relatively uncommon and cause the patients to contract intraspinal infection. Sometimes, this intraspinal infection develops intramedurally abscess with severe neurological deficits. Therefore, a lack of awareness about this problem can result in fatal neurological sequelae. We report the case of a 1-year-old boy who had a lumbo-sacral dimple at birth without further evaluation. He presented repeated fever and rapidly progressive paraplegia. MRI showed a huge intraspinal and intramedullary abscess with dermoid, which was thought to be the result of a dermal sinus. Subsequently, he was transferred to our hospital and received immediate surgery. The patient underwent irrigation of purulent material in the intraspinal abscess including on intramedullary lesion, removal of dermoid tumor, and the resection of the dermal sinus. After that, he was treated with 8 weeks of antibiotic therapy. The patient remained paraplegia but made improvement. This patient illustrates the importance of the recognition and evaluation of skin markers. Prophylactic surgery is indicated to prevent dangerous and recurrent infections of the central nervous system.

Authors+Show Affiliations

Department of Neurosurgery, Hokkaido University School of Medicine, Japan.No affiliation info availableNo affiliation info availableNo 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

19086444

Citation

Kurisu, Kota, et al. "[Case of a Large Intra and Extra Medullary Abscess of the Spinal Cord Due to Dermal Sinus]." No Shinkei Geka. Neurological Surgery, vol. 36, no. 12, 2008, pp. 1127-32.
Kurisu K, Hida K, Yano S, et al. [Case of a large intra and extra medullary abscess of the spinal cord due to dermal sinus]. No Shinkei Geka. 2008;36(12):1127-32.
Kurisu, K., Hida, K., Yano, S., Yamaguchi, S., Motegi, H., Kubota, K., & Iwasaki, Y. (2008). [Case of a large intra and extra medullary abscess of the spinal cord due to dermal sinus]. No Shinkei Geka. Neurological Surgery, 36(12), 1127-32.
Kurisu K, et al. [Case of a Large Intra and Extra Medullary Abscess of the Spinal Cord Due to Dermal Sinus]. No Shinkei Geka. 2008;36(12):1127-32. PubMed PMID: 19086444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Case of a large intra and extra medullary abscess of the spinal cord due to dermal sinus]. AU - Kurisu,Kota, AU - Hida,Kazutoshi, AU - Yano,Shunsuke, AU - Yamaguchi,Shigeru, AU - Motegi,Hiroaki, AU - Kubota,Kanako, AU - Iwasaki,Yoshinobu, PY - 2008/12/18/entrez PY - 2008/12/18/pubmed PY - 2009/2/7/medline SP - 1127 EP - 32 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 36 IS - 12 N2 - Congenital dermal sinuses, resulting from abnormal neurulation, are relatively uncommon and cause the patients to contract intraspinal infection. Sometimes, this intraspinal infection develops intramedurally abscess with severe neurological deficits. Therefore, a lack of awareness about this problem can result in fatal neurological sequelae. We report the case of a 1-year-old boy who had a lumbo-sacral dimple at birth without further evaluation. He presented repeated fever and rapidly progressive paraplegia. MRI showed a huge intraspinal and intramedullary abscess with dermoid, which was thought to be the result of a dermal sinus. Subsequently, he was transferred to our hospital and received immediate surgery. The patient underwent irrigation of purulent material in the intraspinal abscess including on intramedullary lesion, removal of dermoid tumor, and the resection of the dermal sinus. After that, he was treated with 8 weeks of antibiotic therapy. The patient remained paraplegia but made improvement. This patient illustrates the importance of the recognition and evaluation of skin markers. Prophylactic surgery is indicated to prevent dangerous and recurrent infections of the central nervous system. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/19086444/[Case_of_a_large_intra_and_extra_medullary_abscess_of_the_spinal_cord_due_to_dermal_sinus]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0301-2603&rft.volume=36&rft.issue=12&rft.spage=1127 DB - PRIME DP - Unbound Medicine ER -