Catastrophic Intramedullary Abscess Caused by a Missed Congenital Dermal Sinus.
10.3340/jkns.2015.57.3.225
- Author:
Yun Sik DHO
1
;
Seung Ki KIM
;
Kyu Chang WANG
;
Ji Hoon PHI
Author Information
1. Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea. phi.jihoon@gmail.com
- Publication Type:Case Report
- Keywords:
Congenital dermal sinus;
Intramedullary abscess;
Diagnosis
- MeSH:
Abscess*;
Diagnosis;
Female;
Fever;
Humans;
Infant;
Neural Tube Defects;
Quadriplegia;
Skin;
Spina Bifida Occulta*
- From:Journal of Korean Neurosurgical Society
2015;57(3):225-228
- CountryRepublic of Korea
- Language:English
-
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.
