Composite split cord malformation associated with a dermal sinus tract, dermoid cyst, and epidural abscess: A case report and review of literature

Authors

Saad Akhtar, Aga Khan UniversityFollow
Abdul Azeem, Aga Khan University
Muhammad Shahzad Shamim, Aga Khan UniversityFollow
Muhammad Zubair Tahir, Great Ormond Street Hospital, London, UK.

Document Type

Report

Department

Neurosurgery

Abstract

Background: Split cord malformation (SCM) is typically present at a single level but rarely, may be present at multiple levels in the spinal cord and can be associated with a wide array of lesions such as myelomeningoceles, lipomas, teratomas, and dermal sinus tracts (DSTs).
Case description: We describe a case of a 15-month-old female child who presented with high-grade fever and progressive motor weakness in the lower limbs. Magnetic resonance imaging revealed the presence of SCM along with an epidural abscess, DST, and dermoid cyst. The child underwent surgery for excision of DST along with removal of the dermoid cyst and drainage of epidural abscess. The postoperative course was uneventful. Elective repair of the SCM was performed 4 weeks later. The postoperative course was uneventful again.
Conclusion: To the best of our knowledge, the combination of a composite SCM with a DST and dermoid cyst with associated epidural abscess has rarely been reported in literature.

Comments

Issue, and pagination are not provided by the author/publisher

Publication (Name of Journal)

Surgical Neurology International

Recommended Citation

Akhtar, S., Azeem, A., Shamim, M., Tahir, M. Z. (2016). Composite split cord malformation associated with a dermal sinus tract, dermoid cyst, and epidural abscess: A case report and review of literature. Surgical Neurology International, 7, 43.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_neurosurg/217

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