Meningeal cysts complicated with tethered cord syndrome diagnosed by prenatal ultrasonography:a case report
10.3760/cma.j.issn.1007-9408.2019.08.015
- VernacularTitle:产前超声诊断胎儿脊膜囊肿伴脊髓栓系一例
- Author:
Shengnan WU
1
;
Xinxiu LIU
;
Ling CHEN
;
Zhaoyang QU
;
Zhen YE
Author Information
1. 福建医科大学附属第一医院超声影像科
- Keywords:
Neural tube defects;
Ependyma;
Cysts;
Ultrasonography,prenatal
- From:
Chinese Journal of Perinatal Medicine
2019;22(8):614-616
- CountryChina
- Language:Chinese
-
Abstract:
We reported a case diagnosed with meningeal cysts complicated with tethered cord syndrome based on prenatal ultrasound images at 37+5 gestational weeks, which also showed horseshoe kidney and intrahepatic vascular abnormalities (arteriovenous fistula) in the fetus. The gravida had a precipitate delivery at 39+4 gestational weeks. The anus of this newborn was about 1 cm in front of the normal position. Intrahepatic arteriovenous fistula and horseshoe kidney were detected by neonatal ultrasound and CT scan, and spinal cystic occupying lesion was found by lumbar-sacrum MRI. Intraspinal tumors were removed through spinal canal exploration and spinal cord tumor resection and were confirmed as ependymal cysts by pathological analysis, which was consistent with the prenatal diagnosis. Postoperative changes of lumbar spine was reported by CT scan after the operation. The baby received successful anoplasty when five months old and no abnormal growth or development were found when followed up to one year and eight months old. Raising awareness of tethered cord syndrome can help reduce missed diagnosis and misdiagnosis.
