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ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - A RARE POSTERIOR MEDIASTINAL PATHOLOGY.

Abstract

Anterior Myelomeningocele presenting as a posterior mediastinal mass has rarely been described. These anomalies, characterized by protrusion of meninges and spinal cord through open vertebral arches, present with devastating spinal or neurological problems. We present the case of a young female with a chronic history of right upper abdominal pain and low grade fever but no associated neurological or spinal defects. Relevant investigations showed a posterior mediastinal mass in right paraspinal region. Through a right postero-lateral thoracotomy, complete excision of the growth with preservation of major surrounding structures was carried out. Histopathology revealed Myelomeningocele. To our knowledge, this is the only case of Anterior Myelomeningocele at the thoracic level without neurospinal involvement.

Authors+Show Affiliations

Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital Karachi, Pakistan. Electronic address: yasir.bilal@aku.edu.Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital Karachi, Pakistan.Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital Karachi, Pakistan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31472139

Citation

Khan, Yasir, et al. "ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - a RARE POSTERIOR MEDIASTINAL PATHOLOGY." The Annals of Thoracic Surgery, 2019.
Khan Y, Iqbal S, Fatimi S. ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - A RARE POSTERIOR MEDIASTINAL PATHOLOGY. Ann Thorac Surg. 2019.
Khan, Y., Iqbal, S., & Fatimi, S. (2019). ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - A RARE POSTERIOR MEDIASTINAL PATHOLOGY. The Annals of Thoracic Surgery, doi:10.1016/j.athoracsur.2019.06.105.
Khan Y, Iqbal S, Fatimi S. ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - a RARE POSTERIOR MEDIASTINAL PATHOLOGY. Ann Thorac Surg. 2019 Aug 28; PubMed PMID: 31472139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ANTERIOR MENINGOMYELOCELE WITHOUT NEUROSPINE INVOLVEMENT - A RARE POSTERIOR MEDIASTINAL PATHOLOGY. AU - Khan,Yasir, AU - Iqbal,Sara, AU - Fatimi,Saulat, Y1 - 2019/08/28/ PY - 2019/06/19/received PY - 2019/06/27/revised PY - 2019/06/30/accepted PY - 2019/9/1/entrez PY - 2019/9/1/pubmed PY - 2019/9/1/medline JF - The Annals of thoracic surgery JO - Ann. Thorac. Surg. N2 - Anterior Myelomeningocele presenting as a posterior mediastinal mass has rarely been described. These anomalies, characterized by protrusion of meninges and spinal cord through open vertebral arches, present with devastating spinal or neurological problems. We present the case of a young female with a chronic history of right upper abdominal pain and low grade fever but no associated neurological or spinal defects. Relevant investigations showed a posterior mediastinal mass in right paraspinal region. Through a right postero-lateral thoracotomy, complete excision of the growth with preservation of major surrounding structures was carried out. Histopathology revealed Myelomeningocele. To our knowledge, this is the only case of Anterior Myelomeningocele at the thoracic level without neurospinal involvement. SN - 1552-6259 UR - https://www.unboundmedicine.com/medline/citation/31472139/ANTERIOR_MENINGOMYELOCELE_WITHOUT_NEUROSPINE_INVOLVEMENT_-_A_RARE_POSTERIOR_MEDIASTINAL_PATHOLOGY L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-4975(19)31235-4 DB - PRIME DP - Unbound Medicine ER -