Lateral Meningomyelocele in a Neonate: A Case Report
G Raghavendra Prasad1, T M Rashmi1
1Department of Pediatric Surgery Deccan College of Medical Sciences & Princes Esra Hospital, Hyderabad, India.
Journal of Neonatal Surgery
|January 22, 2016
Summary
This report details an extremely rare case of isolated lateral gluteal meningomyelocele in a neonate. This finding is significant as most lateral meningomyelocele cases are linked to other syndromes.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatric Surgery
Background:
- Meningocele and meningomyelocele are congenital conditions involving protrusion of the meninges and/or spinal cord through a defect in the vertebral column.
- Lateral presentations of these conditions are exceptionally uncommon in medical literature.
- The majority of reported lateral meningoceles are associated with complex syndromes, making isolated cases exceedingly rare.
Observation:
- A neonate presented with a lateral gluteal mass.
- Clinical and imaging evaluations confirmed the presence of a meningomyelocele.
- Crucially, the condition appeared isolated, without evidence of other congenital anomalies or syndromes.
Findings:
- The case represents an isolated lateral gluteal meningomyelocele, a highly infrequent congenital anomaly.
- This contrasts with the typical association of lateral meningoceles with broader genetic or developmental syndromes.
- The successful identification of this isolated presentation expands the known spectrum of neural tube defects.
Implications:
- This case highlights the importance of considering isolated neural tube defects even in rare anatomical locations.
- Further research into the etiology and specific management of isolated lateral meningomyelocele is warranted.
- Understanding such rare presentations can refine diagnostic approaches and treatment strategies for congenital spinal defects in neonates.


