1.A Case of Congenital Cranial Dermal Sinus.
Jae Min CHOI ; Woo Jung KIM ; Hyeun Chung KIM ; Ha Joo CHOI ; Woo Kap CHUNG
Journal of the Korean Pediatric Society 1989;32(10):1442-1447
No abstract available.
Spina Bifida Occulta*
2.Spina bifida occulta among the adult children of veterans exposed to herbicides during wartime was revealed by lumbar vertebra sacral x-rays
Journal of Vietnamese Medicine 2003;290(11):29-34
213 adult subjects, children of veterans exposed to herbicides sprayed during Ranch Hand Operation (in 1961-1971 war period) and 210 non-exposed subjects were investigated by usual lumbar X-ray. The images showed that spina bifida occulta incidence in exposed group was 1.5 times higher than non-exposed group. Among male subjects, in exposed group, the incidence was 1.7 times higher than non-exposed one, while among female subjects, no difference was recorded. Simple single bifida was 51.6% in exposed group and 41.9% in non-exposed. Multiple vertebra of combinated bifida was 7.9% and 2.4% respectively. The common sites of bifida were L5, S1, S2, S3, among them the site of S1 was most common
Spina Bifida Occulta
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Herbicides
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Child
3.Cervical Spondylolysis in Child with Four Levels of Simultaneous Involvement: A Case Report.
Gang Deuk KIM ; Hye Won KIM ; Sung Jo JANG ; Jung Taek OH
Journal of the Korean Radiological Society 2006;55(6):619-622
Cervical spondylolysis is a rare condition, and less than 100 cases have been reported in the world literature. Cervical spondylolysis is defined as a well corticated defect in the posterior element of a cervical vertebra. Although the etiology of cervical spondylolysis is unknown, its association with dysplastic changes and spina bifida occulta suggest that the lesion is congenital. Here, we describe the radiographs and CT images of cervical spondylolysis involving four levels in a 9 year old boy.
Child*
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Humans
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Male
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Spina Bifida Occulta
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Spine
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Spondylolysis*
4.Congenital Cranial Dermal Sinus: Case Report.
Kyu Chang WANG ; Byung Kyu CHO ; Kil Soo CHOI
Journal of Korean Neurosurgical Society 1988;17(3):583-588
Congenital cranial dermal sinus is one of the causes of meningitis in pediatric patients. In spite of its rarity, this entity should be considered when a child has meningitis of unexplained origin. Authors report a case of congenital cranial dermal sinus in a 15 month old girl who presented with recurrent meningitis.
Child
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Female
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Humans
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Infant
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Meningitis
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Spina Bifida Occulta*
5.A Case of Dermoid in the Thoracolumbar Region.
Ho Soun LEE ; Choong Hyun KIM ; Suck Jun OH ; Hae Dong JHO ; Yung Rak YOO ; Nam Kyu KIM ; Hwan Yung CHUNG
Journal of Korean Neurosurgical Society 1985;14(1):255-258
Dermoid and epidermoid of the spinal cord are rare and their percentage was 2.6% of spinal cord tumors. In dermoid average age of occurrence is 28.3 years. They are dysembryonic malformations. Dermoid consists of desquamated material, sebaceous material and hairs. The region of preference is lumbosacral spinal cords, especially cauda equina and conus medullaris. We are reporting a case of dermoid which has taken intracapsular enucleation and discuss about the epidemiology and pathogenesis.
Cauda Equina
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Conus Snail
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Dermoid Cyst*
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Epidemiology
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Hair
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Spina Bifida Occulta
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Spinal Cord
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Spinal Cord Neoplasms
6.A Case of Congeital Occipital Dermoid Cyst.
Jung Taek KWON ; Young Baeg KIM ; Sung Nam HWANG ; Duck Young CHOI
Journal of Korean Neurosurgical Society 1991;20(8):699-703
A 18-year-old girl, who presented with painful scalp mass on occipital region, was found in have a congential dermal sinus. At surgery, upon incision of the occipital muscle fascia, pus poket was encountered and it was connected with thickened occipito-cervical dura through the small foramen on midline occiptial bone. The pathogenesis and principles of management are briefly reviewed.
Adolescent
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Dermoid Cyst*
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Fascia
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Female
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Humans
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Scalp
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Spina Bifida Occulta
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Suppuration
7.A Case of Intracranial Dermoid Cyst Associated with Scalp Abscess.
Sung Keun OH ; Sung Dae CHO ; Young Jin HONG ; Byong Kwan SON ; Young Se KWON ; Eun Young KIM ; Myung Kwan LIM ; Seok Jin CHOI
Journal of the Korean Child Neurology Society 2010;18(2):317-321
Intracranial dermoid cyst is a rare congenital disease originating in the embryo. Intracranial dermoid cysts are usually detected before five years of age; however, asymptomatic cysts have been discovered after the third decade of life through various complications. Sometimes, there are neurologic symptoms caused by a cystic mass effect and if there is a dermoid sinus, purulent infections can occur. Early diagnosis is important and as such, CT or MR imaging for recognition of the location, size, and characteristics of the cysts are recommended before surgical resection. Extradural dermoid cysts with an intact occipital dermoid sinus are a rare event. We report a case of intracranial dermoid cyst associated with scalp abscess. In this case, a three-year-old boy was presented with scalp abscess and we performed MR imaging, which revealed a cystic region. The prognosis after resection operation was good without any complication.
Abscess
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Dermoid Cyst
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Early Diagnosis
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Embryonic Structures
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Neurologic Manifestations
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Prognosis
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Scalp
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Spina Bifida Occulta
8.Fusion of Pedicular Cleft Using Pedicle Screw Fixation: A Case Report.
Jin Soo KIM ; Ki Tack KIM ; Kyung Soo SUK ; Jung Hee LEE ; Sang Hun LEE ; Jae Hyung EOH
Journal of Korean Society of Spine Surgery 2008;15(2):106-110
There is a broad range of lumbar pedicular and neural arch anomalies, with spina bifida occulta and spondylolysis being especially common. It is very rare for a pedicular cleft to be associated with contralateral spondylolysis in the same vertebral segment. We observed L4 spondylolisthesis, clefting of the left L4 hypertrophied pedicle associated with contralateral spondylolysis, and spinal stenosis on a radiographic study of the lumbar spine. Operative treatment was performed, with posterior decompression, partial removal of the hypertrophied pedicle, posterior lumbar interbody fusion using a cage, and posterior instrumentation. The patient's neurologic symptoms resolved after operative treatment. Fusion of the left pedicle cleft was observed on 6-month follow-up CT. We report one case of pedicular cleft fusion using pedicle screw fixation and present a review of the relevant literature.
Decompression
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Follow-Up Studies
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Neurologic Manifestations
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Spina Bifida Occulta
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Spinal Stenosis
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Spine
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Spondylolisthesis
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Spondylolysis
9.A Case of Congenital Lumbosacral Dermal Sinus Associated with Recurrent Meningitis(Case Report).
Seong Hoon LEE ; Nam Kyu KIM ; Hwan Yung CHUNG ; Kwang Myung KIM ; Suck Jun OH
Journal of Korean Neurosurgical Society 1989;18(7-12):1124-1128
Recurrent episode of meningitis in infants and children frequently constitute a frustrating and distressing, both in determination of course and treatment. The authors are reporting a infected case of congenital dermal sinus with dermoid cyst in the subarachnoid space of cauda equina and conus medullaris which was cured after complete removal of cyst and sinus tract.
Cauda Equina
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Child
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Conus Snail
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Dermoid Cyst
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Humans
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Infant
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Meningitis
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Spina Bifida Occulta*
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Subarachnoid Space
10.Intramedullary Entire Spinal Cord Abscess Secondary to a Congenital Dermal Sinus: A Case Report.
Byung Sub KIM ; Sang Bok LEE ; Kyoung Suok CHO
Korean Journal of Spine 2010;7(3):195-198
Intramedullary spinal abscesses are rare and potentially devastating lesions. The first case of spinal abscess was described in 1830 and fewer than 100 cases have been reported subsequently. Only sixteen previous reports have described an intramedullary abscess of the central nervous system secondary to a dermal sinus. Involvement of the entire cord is thus exceedingly rare. We present a case of a 7-month-old girl who had rapidly progressing quadriplegia with urinary and bowel retention and was found to have an intramedullary abscess as a result of a dermal sinus. Spine MRI shows thick irregular ring enhancement appeared within the broadest area of the spinal cord on the thoracic and lumbar area on mid thoracic level to L3 and high cervical area which extended to medulla. Immediate decompressive surgery and antibiotic treatment were performed. Excellent clinical outcome was obtained with a combination of medical and surgical management. Complete neurological assessment and diagnostic study of all patients with a congenital dermal sinus are very important. Prophylatic surgery is indicated in many cases to prevent dangerous and recurrent infections of the central nervous system.
Abscess
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Central Nervous System
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Humans
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Infant
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Quadriplegia
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Retention (Psychology)
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Spina Bifida Occulta
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Spinal Cord
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Spine