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ECG Interpretation of Arrhythmias I: Sinus Arrhythmias01:16

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Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
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Related Experiment Video

Updated: Jan 22, 2026

Murine Dermal Fibroblast Isolation by FACS
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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
PubMed
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.

Keywords:
infection (neurology)neuroimagingneurologyradiologyspinal cord

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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.