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Double dermal sinuses: a case study.

Mostafa El Khashab¹, Farideh Nejat, Abolhasan Ertiaei

¹Department of Neurosurgery, Children's Hospital Medical Center, Medical Sciences/University of Tehran, Tehran, Iran. mostkash@yahoo.com

Journal of Medical Case Reports

|August 30, 2008

Summary

This case report details a rare instance of double dermal sinuses, a congenital condition typically presenting as a single midline pit. The co-existence of two such sinuses in a child is unprecedented in medical literature.

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Area of Science:

Neurology
Pediatrics
Dermatology

Background:

Dermal sinus tracts are uncommon congenital midline lesions.
These tracts manifest as cutaneous pits or dimples along the neuroaxis.
They are most frequently observed in the lumbar and lumbosacral regions.

Purpose of the Study:

To report a unique case of co-existing double dermal sinuses.
To highlight an unusual presentation of congenital dermal sinus tracts.

Main Methods:

Case presentation of a 5-year-old girl with occasional headaches.
Clinical observation of two distinct dimples: one on the dorsal head and another on the neck.

Main Results:

The patient presented with two dermal sinus tracts, one on the head and one on the neck.

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This represents a rare occurrence of multiple dermal sinuses.

Conclusions:

Dermal sinuses are typically singular.
The co-existence of double dermal sinuses has not been previously documented.
This case expands the understanding of congenital dermal sinus tract variations.