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Dorsal dermal sinus with intramedullary abscess formation

J R Shah1, V Joshi, D Patkar

  • 1Karuna Hospital - Radiology, Nanavati Hospital - MRI, Mumbai, Maharashtra, India. shahjeshil@yahoo.com

Australasian Radiology
|December 6, 2007
PubMed

Insights

Dorsal dermal sinus can lead to spinal infections. Intramedullary abscess is a rare complication, with this report detailing three new cases and their MR imaging.

Area of Science:

  • Neurology
  • Radiology
  • Pediatric Surgery

Background:

  • Dorsal dermal sinus is a congenital abnormality linked to spinal dysraphism.
  • It can act as a conduit for intraspinal infections.
  • Intramedullary abscess is a rare but serious complication.

Observation:

  • This study presents three new cases of intramedullary abscess.
  • The cases are associated with dorsal dermal sinus.
  • Magnetic Resonance (MR) imaging findings are detailed.

Findings:

  • MR imaging is crucial for diagnosing intramedullary abscess secondary to dorsal dermal sinus.
  • The presented cases highlight the spectrum of MR appearances.
  • Early diagnosis and intervention are vital.

Implications:

  • Increased awareness of this rare complication is needed among clinicians.
  • MR imaging protocols should be optimized for suspected cases.
  • Understanding the pathway of infection can guide preventative strategies.

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