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Cervical myelomeningocele with CSF leakage: a case-based review
Kevin Armas-Melián1,2, Sara Iglesias3, Bienvenido Ros3
1Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain. kevinarmasmelian@hotmail.com.
Background:
The cystic spinal dysraphism of the cervical and upper thoracic region (CDCT) accounts for only 3.9 to 8% of spina bifida cystica lesions. The presence of external cerebrospinal fluid (CSF) leakage is infrequent and very few authors have reported about surgical complications.
Case Report:
We present the case of a new born diagnosed of CDCT C1-C3 with a stalk of fibrovascular tissue, CSF leakage, hydrocephalus, and type Chiari II malformation, discuss about the chosen surgical technique and the associated complications, and make a review of the literature focusing on the main aspects of CDCT.
Conclusions:
The CDCT with a stalk of neuroglial and/or fibrovascular tissue originates from the dorsal surface of the spinal cord and penetrates into a cervical cystic sac. The presence of CSF leakage, hydrocephalus, and/or type Chiari II malformation can influence to decide the most appropriate surgical technique.
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