Infected spinal dermal sinus tract with meningitis: a case report.Acta Neurol Taiwan. 2011 Sep; 20(3):188-91.AN
Congenital dermal sinus tract (DST), an uncommon entity of cranial or spinal dysraphism, occurs along the midline neuraxis that may arise from nasion and occiput down to the lumbar and sacral region. It is often diagnosed in infants and children for skin signs, neurological deficits, local infection, meningitis, or abscess. For spinal DST, there is a paucity of case or series report in Taiwan.
In this paper, we report a case in a 6-year-old girl. The girl presented with midline lumbar skin dimple, hypertrichosis, and history of bacterial meningitis. She was successful treated by surgical excision of the DST with local infection that ended within the subarachnoid space between L2-3 vertebrae.
This case highlights the importance of a thorough examination of the midline craniospinal axis in children with meningitis or history of meningitis.