scholarly journals Fatal Streptococcus melleri Meningitis Complicating Missed Infected Intramedullary Dermoid Cyst Secondary to Dermal Sinus in a Saudi Child

2013 ◽  
Vol 59 (3) ◽  
pp. 246-249 ◽  
Author(s):  
E. E. Bukhari ◽  
F. E. Alotibi
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus ◽  
Intramedullary Dermoid Cyst

scholarly journals Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst

2019 ◽  
Vol 14 (3) ◽  
pp. 975 ◽  
Author(s):  
Sriram Patwari ◽  
BhavanaNagabhushana Reddy ◽  
ManojKumar Kapanigowda ◽  
SujithKamalakshi Ramesha ◽  
Harsha Chadaga
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus ◽  
Intramedullary Dermoid Cyst

Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases

2016 ◽  
Vol 17 (1) ◽  
pp. 86-93 ◽  
Author(s):  
Shabari Girishan ◽  
Vedantam Rajshekhar
Keyword(s):  
Dermoid Cyst ◽  
Early Recognition ◽  
Neurological Status ◽  
Rapid Onset ◽  
Central Canal ◽  
Acute Onset ◽  
Dermal Sinus ◽  
Lumbar Region ◽  
Total Excision ◽  
Intramedullary Dermoid Cyst

OBJECT Intramedullary dermoid cysts are rare tumors of the spinal cord. Presentation with rapid onset of paraparesis or quadriparesis (onset within 2 weeks) is rarer still. The authors present their experience in the management and outcome of patients with such a presentation. METHODS Patient records between 2000 and 2014 were retrospectively reviewed to identify those with intraspinal dermoid cysts who presented with rapid-onset paraparesis or quadriparesis. Their clinical, radiological, operative, and follow-up data were analyzed. RESULTS Of a total of 50 patients with intraspinal dermoid cysts managed during the study period, 10 (20%) presented with rapid-onset paraparesis or quadriparesis; 9 patients ranged in age from 8 months to 2 years, and 1 patient was 25 years old. A dermal sinus was seen in the lumbar region of 4 patients, the sacral region of 3, and the thoracic region of 1, and in 1 patient no sinus was found. All except 1 patient presented with rapid-onset paraparesis secondary to infection of the intramedullary dermoid cyst. One patient presented with rupture of a dermoid cyst with extension into the central canal up to the medulla. Early surgery was done soon after presentation in all except 2 patients. Among the 9 patients who underwent surgery (1 patient did not undergo surgery), total excision of the intramedullary dermoid cyst was done in 3 patients, near-total excision in 4 patients, and partial excision in 2 patients. Of the 9 patients who underwent surgery, 8 showed significant improvement in their neurological status, and 1 patient remained stable. The 1 patient who did not undergo surgery died as a result of an uncontrolled infection after being discharged to a local facility for management of wound infection. CONCLUSIONS Early recognition of a dermal sinus and the associated intraspinal dermoid cyst and timely surgical intervention can eliminate the chances of acute deterioration of neurological function. Even after an acute onset of paraparesis or quadriparesis, appropriate antibiotic therapy and prompt surgery can provide reasonably good outcomes in these patients.

scholarly journals Congenital dermal sinus in mid-dorsal spine with large intramedullary dermoid cyst in an 18-months-old child

2013 ◽  
Vol 8 (3) ◽  
pp. 201 ◽  
Author(s):  
Pradipta Tripathy ◽  
Debahuti Mohapatra ◽  
Sureswar Mohanty ◽  
RanjanK Sahoo
Keyword(s):  
Dermoid Cyst ◽  
Dorsal Spine ◽  
Dermal Sinus ◽  
Intramedullary Dermoid Cyst ◽  
Congenital Dermal Sinus

Prevotella melaninogenica Meningitis and Abscess: A Complication of the Removal of a Midline Dermoid Cyst

2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz
Keyword(s):  
Dermoid Cyst ◽  
Bacterial Infections ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Neural Tube Closure ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Oral Flora ◽  
Prevotella Melaninogenica ◽  
Dermal Sinus Tract

Abstract Prevotella species are gram-negative anaerobic commensal bacteria of the oropharynx, which frequently cause periodontal disease but are otherwise rarely implicated in serious bacterial infections. Cranial dermoid cysts are benign neoplasms that grow along the planes of the embryonic neural tube closure. In infants, they most commonly present in frontal locations, including periorbital, nasal, and within the anterior fontanelle. Although dermoid cysts are slow growing, usually uncomplicated, and easily treated definitively with surgical excision, cranial cysts located on the midline are associated with a higher risk for persistent dermal sinus tract with intracranial extension of the tumor. We describe a case of a 10-month-old male patient with an occipital midline dermoid cyst with intracranial extension, infected with Prevotella melaninogenica, and complicated by intracranial abscess formation and meningitis.This case highlights two unusual disease entities: the uncommon occipital location of a dermoid cyst, and complications of that cyst caused by a serious bacterial infection with a normal oral flora. We discuss the recommendation for neuroimaging prior to surgical excision of a midline dermoid cyst, given the risk for dermal sinus tract with intracranial communication. We also discuss potential mechanisms for bacterial inoculation of this cyst with Prevotella melaninogenica. This pathogen has not previously been reported as a complication of dermoid cysts.

Cervical Dermal Sinus Associated With Intradural Dermoid Cyst

Consultant ◽  
2020 ◽  
Author(s):  
Aviva Jaari Whelan ◽  
James N. Crooks
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus

Congenital Dermal Sinus Elements in Each Tethering Stalk of Coexisting Thoracic Limited Dorsal Myeloschisis and Retained Medullary Cord

2020 ◽  
pp. 1-8
Author(s):  
Takato Morioka ◽  
Nobuya Murakami ◽  
Masako Ichiyama ◽  
Takeshi Kusuda ◽  
Satoshi O. Suzuki
Keyword(s):  
Present Article ◽  
Dermoid Cyst ◽  
Spinal Dysraphism ◽  
Conus Medullaris ◽  
Dermal Sinus ◽  
Case Presentation ◽  
Upper Tract ◽  
Secondary Neurulation ◽  
Extradural Space ◽  
Congenital Dermal Sinus

<b><i>Introduction:</i></b> The embryogenesis of limited dorsal myeloschisis (LDM) likely involves impaired disjunction between the cutaneous and neural ectoderms during primary neurulation. Because LDM and congenital dermal sinus (CDS) have a shared origin in this regard, CDS elements can be found in the LDM stalk. Retained medullary cord (RMC) is a closed spinal dysraphism involving a robust, elongated, cord-like structure extending from the conus medullaris to the dural cul-de-sac. Because the RMC is assumed to be caused by impaired secondary neurulation, concurrent RMC and CDS cannot be explained embryologically. In the present article, we report a case in which CDS elements were noted in each tethering stalk of a coexisting LDM and RMC. <b><i>Case Presentation:</i></b> A 2.5-month-old boy with left clubfoot and frequent urinary and fecal leakage had 2 tethering tracts. The upper tract, which ran from the thoracic tail-like cutaneous appendage, had CDS elements in the extradural stalk and a tiny dermoid cyst in the intradural stalk immediately after the dural entry. In the lower tract, which ran from the lumbosacral dimple, the CDS as an extradural stalk continued to the RMC at the dural cul-de-sac. Both stalks were entirely resected through skip laminotomy/laminectomy at 1 stage to untether the cord and resect the CDS elements. <b><i>Conclusion:</i></b> Surgeons should be aware that CDS elements, in addition to LDM, may coexist with RMC that extends out to the extradural space.

Cervical dermal sinus associated with dermoid cyst

2001 ◽  
Vol 17 (8) ◽  
pp. 491-493 ◽  
Author(s):  
Jung-Kil Lee ◽  
Jae-Hyoo Kim ◽  
Jae-Sung Kim ◽  
Tae-Sun Kim ◽  
Shin Jung ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus

Cerebellar abscesses secondary to occipital dermoid cyst with dermal sinus

2002 ◽  
Vol 58 (3-4) ◽  
pp. 266-270 ◽  
Author(s):  
Ali Akhaddar ◽  
Mohamed Jiddane ◽  
Noureddine Chakir ◽  
Rachid El Hassani ◽  
Brahim Moustarchid ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus

Nasal dermal sinus and dermoid cyst with intrafalcial extension

1987 ◽  
Vol 3 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Yasuhiro Okuda ◽  
Shizuo Oi
Keyword(s):  
Dermoid Cyst ◽  
Dermal Sinus
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