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Unusual malformations in occult spinal dysraphism

A Gök¹, M Bayram, Y Coşkun

¹Department of Neurosurgery, Gaziantep University Faculty of Medicine.

The Turkish Journal of Pediatrics

|October 1, 1995

Summary

This study presents two rare cases of occult spinal dysraphism, highlighting unusual congenital anomalies like dextrocardia and teratoma. Advanced imaging confirmed these complex spinal malformations.

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Area of Science:

Neurology
Pediatric Surgery
Medical Imaging

Background:

Occult spinal dysraphism encompasses a spectrum of congenital vertebral malformations.
Early diagnosis is crucial for managing associated neurological deficits and complications.

Observation:

Case 1: A patient presented with multiple anomalies including scoliosis, dermoid tumor, hydromyelia, diastematomyelia, dermal sinus, low conus, vertebral anomalies, and notably, dextrocardia.
Case 2: Another patient exhibited a rare teratoma associated with a dermal sinus and tethered cord in the lumbar region.

Findings:

The co-occurrence of dextrocardia with occult spinal dysraphism is exceptionally rare.
The presence of a teratoma with a dermal sinus and tethered cord in the lumbar spine is also uncommon.

Implications:

These cases underscore the diverse and complex presentations of spinal dysraphism.
Highlights the importance of comprehensive diagnostic imaging, including myelography, CT, and MRI, for accurate diagnosis and characterization of these rare conditions.

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