Myelocystocele Mimicking Myelomeningocele: A Case Report and Review of the Literature.

Abstract:

BACKGROUND:Myelocystoceles, which are classified as closed neural tube defects, are usually covered by skin and rarely complicated by hydrocephalus. We encountered an unusual case of a terminal myelocystocele with hydrocephalus with clinical characteristics of a myelomeningocele. CASE DESCRIPTION:Severe hydrocephalus and a lumbosacral lesion were detected in the fetus of a gravid 34-year-old woman. Cesarean section was performed at 37 weeks. The neonate presented with a lumbosacral mass with a partial skin defect. As myelomeningocele was suspected, the neonate underwent surgery on the day of birth. The intraoperative findings pointed to a myelocystocele rather than a myelomeningocele. After insertion of a ventriculoperitoneal shunt, the neonate was discharged without any neurologic deficits. CONCLUSIONS:Presence of skin abnormalities, hydrocephalus, and lumbosacral mass strongly suggests a diagnosis of myelomeningocele. However, such cases should be differentiated from myelocystocele, especially when associated with severe hydrocephalus.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Takamiya S,Seki T,Ikeda T,Shinada SI,Hamauchi S,Terasaka S,Houkin K

doi

10.1016/j.wneu.2018.07.247

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

172-175

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)31727-3

journal_volume

119

pub_type

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