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Brain abscess as a manifestation of spinal dermal sinus
Parisa Emami-Naeini1, Ali Mahdavi, Hamed Ahmadi
1Department of Neurosurgery, Children's Hospital Medical Center, Medical Sciences/University of Tehran, Tehran, Iran.
Abstract:
Dermal sinuses have been associated with a wide spectrum of clinical manifestations ranging from asymptomatic to drainage of purulent material from the sinus tract, inclusion tumors, meningitis, and spinal abscess. To date, there has been no documented report of brain abscess as a complication of spinal dermal sinus. Here, we report an 8-month-old girl who was presented initially with a brain abscess at early infancy but lumbar dermal sinus and associated spinal abscess were discovered afterwards. The probable mechanisms of this rare association have been discussed.
Insights
Brain abscess is a rare complication of spinal dermal sinus, a congenital condition. This case report details an infant with a brain abscess, later found to have a spinal dermal sinus and abscess.
Area of Science:
- Neurology
- Pediatrics
- Dermatology
Background:
- Spinal dermal sinuses are congenital abnormalities that can lead to various complications.
- Reported complications include spinal abscesses, meningitis, and tumors, but brain abscess is undocumented.
Observation:
- A case of an 8-month-old infant presenting with an early infancy brain abscess is described.
- A lumbar dermal sinus and associated spinal abscess were subsequently discovered in the same patient.
Findings:
- This report documents the first known case of brain abscess as a complication of spinal dermal sinus.
- The study discusses potential mechanisms behind this rare neurological complication.
Implications:
- Highlights the importance of considering spinal dermal sinus in infants with unexplained brain abscesses.
- Suggests a need for further investigation into the pathophysiology of this rare association.
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