Dermal sinus, intramedullary dermoid cyst and multiple spinal abscesses: a rare combination with serious clinical implications

ABSTRACT

A rare combination of multiple intradural spinal abscesses in association with a dermal sinus and intraconal cyst in a 3-month-old child is presented. Although present at birth, the dermal sinus was unappreciated until complicated by intradural abscess. Clinical progression to intramedullary abscess resulted in rapid neurological deterioration. The extent of infection was well characterised on MRI and prompt surgical intervention resulted in complete neurological recovery