Co-existing limited dorsal myeloschisis, spinal dermal sinus tract, and dermoid cyst in a 3-month-old female infant: Illustrative case.
Limited dorsal myeloschisis (LDM) and spinal dermal sinus tracts (DST) are rare forms of closed spinal dysraphism that are usually considered distinct entities, and their coexistence with a dermoid cyst is exceptionally uncommon. We describe a 3-month-old female infant with a congenital lumbosacral…
Microsurgical Resection of an Inclusion Cyst in a Fetal Myeloschisis Patient: A Surgical Anatomy and Technical Note.
Inclusion cysts (ICs) are a recognized sequela of myeloschisis closure, particularly in patients who undergo in utero repair. These lesions and their management present a unique challenge in the context of tethered cord surgery. Early detection and appropriate surgical management are essential for r…
Presacral meningocele presenting after rupture into the retroperitoneal space with acute debilitating intracranial hypotension: illustrative case.
Presacral meningoceles are rare congenital cystic lesions caused by herniation of the thecal sac through an anterior sacral defect. Presentations range from asymptomatic to rupture and meningitis. Treatment aims to eliminate subarachnoid communication, recurrence, and complications. The authors repo…
Minimally Invasive Keyhole Interlaminar Detethering for Symptomatic Fatty Filum Terminale in Pediatric Patients: An Operative Technique.
Fatty filum terminale (FFT) is a common cause of tethered cord syndrome (TCS) in children. Traditional detethering often requires laminectomy, which increases surgical trauma and complications. This study aimed to evaluate the safety and efficacy of a minimally invasive keyhole interlaminar approach…
Symptomatic cervical lipomyelomeningocele in an adult: illustrative case.
Cervical lipomyelomeningocele (LMMC) is an exceedingly rare form of spina bifida occulta. Cervical LMMC presenting in adulthood, particularly in the 4th decade, as cervical tethered cord syndrome is extremely uncommon. The authors report the case of a woman in her early 40s who presented with clinic…
Evaluating occult spinal dysraphism in children with midline cutaneous lesions: when to image?
Occult spinal dysraphism (OSD) represents a group of congenital spinal anomalies in which neural tissue remains covered by intact skin. Because the skin and nervous system share a common ectodermal origin, midline lumbosacral cutaneous lesions are frequently associated with underlying spinal abnorma…
Rachipagus Parasitic Twin With Epithelialized Myelomeningocele in a Rural Ethiopian Neonate: A Case Report.
Rachipagus parasitic twinning is an exceptionally rare clinical entity resulting from an asymmetric monozygotic twinning process, characterized by a dorsally co-joined partially formed twin. Co- existence of this condition with neural tube defect is uncommon, yet clinically significant. In this pape…
Late diagnosis of lumbar lipomyelomeningocele with tethered cord syndrome in an adult: case report and literature review.
Lipomyelomeningocele (LMM) is the most common form of closed spinal dysraphism and is typically diagnosed in childhood. Although many patients are initially asymptomatic, progressive neurological deterioration may occur over time due to tethered cord syndrome (TCS). Adult presentation of untreated L…