Abstract：
:Terminal myelocystocele is a rare type of neural tube malformation, consisting of a skin-covered lumbosacral mass, highly associated with other complex abdominal malformations within the OIES complex (omphalocele, imperforate anus, exstrophy of the cloaca and spinal defects). We present a case of a premature female with an extensive lumbosacral mass at birth, as well as an omphalocele, cloacal exstrophy, renal abnormalities, and sacral agenesis. Lumbar magnetic resonance imaging revealed a meningocele sac herniating through the bone defects and containing a syringocele sac. Advanced imaging techniques showed turbulent cerebrospinal fluid flow. At control, 4 weeks later, the defect doubled in size. The myelocystocele sac was evacuated and closed, and the patient persisted with paraparesis. The role of cerebrospinal fluid flow analysis is well established in Chiari-type malformations, in which turbulent flow within the syrinx is related to a better outcome after surgery. It is possible that the same principle could be applied to other spinal malformations, as shown in this case of terminal myelocystocele.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Sprenger F,de Andrade JMC,de Almeida Teixeira BCdoi
10.1016/j.wneu.2020.11.135subject
Has Abstractpub_date
2020-12-19 00:00:00pages
8-10eissn
1878-8750issn
1878-8769pii
S1878-8750(20)32520-1journal_volume
147pub_type
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更新日期：2018-04-01 00:00:00
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更新日期：2017-09-01 00:00:00
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更新日期：2019-05-01 00:00:00
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更新日期：2019-09-01 00:00:00
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