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Dorsal dermal sinus presenting as quadriparesis
Ishita Majumdar1, Ritabrata Kundu1, Joydeep Das1
1Pediatrics, Institute of Child Health, Kolkata, India.
BMJ Case Reports
|July 1, 2019
Summary
Dorsal dermal sinus (DDS), a form of spinal dysraphism, can present with meningitis symptoms in children. Early back examination and imaging are crucial for diagnosing DDS and preventing recurrent meningitis.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Developmental Biology
Background:
- Dorsal dermal sinus (DDS) is a congenital anomaly representing a spectrum of spinal dysraphism.
- Children with DDS may exhibit symptoms mimicking meningitis, posing diagnostic challenges.
Observation:
- A 13-month-old male presented with meningitis features and quadriparesis.
- Clinical examination identified a thoracic spinal pit, with MRI confirming DDS.
- Initial treatment with antibiotics and methylprednisolone provided temporary relief.
Findings:
- Recurrent symptoms necessitated surgical exploration and resection of the DDS.
- Surgical intervention led to complete resolution of the patient's symptoms.
- This case highlights the association between DDS and recurrent meningitis in pediatric patients.
Implications:
- Emphasizes the critical importance of thorough back examinations in children presenting with meningitis.
- Radiological investigations, particularly MRI, are vital for visualizing DDS.
- Highlights the potential for DDS to cause recurrent meningitis, even if rare in children.
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