Catastrophic Intramedullary Abscess Caused by a Missed Congenital Dermal Sinus
Journal of Korean Neurosurgical Society
;
: 225-228, 2015.
Article
in English
| WPRIM
| ID: wpr-223793
ABSTRACT
Congenital dermal sinus (CDS) is a type of occult spinal dysraphism characterized by a midline skin dimple. A 12-month-old girl presented with fever and ascending quadriparesis. She had a midline skin dimple in the upper sacral area that had been discovered in her neonatal period. Imaging studies revealed a holocord intramedullary abscess and CDS. Overlooking CDS or misdiagnosing it as benign sacrococcygeal dimple may lead to catastrophic infection and cause serious neurological deficits. Therefore, further imaging work-up or consultation with a pediatric neurosurgeon is recommended following discovery of any atypical-looking dimples in the midline.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quadriplegia
/
Skin
/
Spina Bifida Occulta
/
Diagnosis
/
Abscess
/
Fever
/
Neural Tube Defects
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Infant
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2015
Type:
Article
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