Asymptomatic posterior cervical myelomeningocele with tethered cord in an adolescent: a rare form of spinal dysraphism with rare presentation

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Abstract

Unlike lumbar spinal dysraphism, cervical spinal dysraphism with or without tethered cord are rare lesions. These lesions are generally asymptomatic at birth, but with progression of time symptoms develop. These may be associated with various other anomalies. Not much have been reported in literature about cervical myelomeningocele (MMC) in adults or adolescents. We report a case of a 17 years old adolescent boy with cervical myelomeningocele with tethered cervical cord, who was completely intact neurologically even at this age and was without any associated anomaly. He came to us only for cosmetic reasons. The tethering band, which was evident on imaging was confirmed intra-operatively.

1. Delashaw JB, Park TS, Cail WM, Vollmer DG: Cervical meningocele and associated spinal anomalies. Childs Nerv Syst. 3(3):165-169, 1987

2. Etus V, Sarisoy HT, Ceylan S: Surgical technique and outcome in cervical and thoracic myelomeningocoele surgery clinical study. Journal of Clinical Neuroscience 13: 643–647, 2006

3. Habibi Z, Nejat F, Tajik P, Kazmi SS, Kajbafzadeh A-M: Cervical myelomeningocele. Neurosurgery 58: 1168-1175,2006

4. Konya D, Dagcinar A, Akakin A, Gercek A, Ozgen S, Pamir MN: Cervical meningocele causing symptoms in adulthood. Case report and review of the literature. J Spinal Disord Tech 19: 531-533, 2006

5. Kasliwal MK, Dwarakanath S, Mahapatra AK: Cervical meningomyelocele-an institutional experience. Childs Nerv Syst 23(11): 1291-1293, 2007

6. May D, Rilliet B, Berney J: Cervical meningocele and meningomyelocystocele. Apropos of 4 cases. Neurochirurgie 38(6):347-352, 1992

7. Meyer-Heim AD, Klein A, Boltshauser E: Cervical myelomeningocele follow-up of five patients. European Journal of Paediatric Neurology 7: 407-412, 2003

8. Nishio S, Morioka T, Hikino S, Fukui M: Cervical (myelo)meningocoele: Report of 2 cases. J Clin Neurosci. 8(6):586-7, 2001

9. Pang D, Dias MS: Cervical myelomeningoceles. Neurosurgery 33: 363-373, 1993

10. Salomao JF, Cavalheiro S, Matushita H, Leibinger RD, Bellas AR, Vanazzi E, Souza LAM, Nardi AG: Cystic spinal dysraphism of the cervical and upper thoracic lesion. Childs Nerv Syst 22: 234-242, 2006

11. Steinbok P, Cochrane D: The nature of congenital posterior cervical or cervicothoracic midline cutaneous mass lesions. J Neurosurg 75: 206-212,1991

12. Steinbok P: Dysraphic lesions of the cervical spinal cord. Neurosurgery Clinics of North America 6(2): 367-376, 1995

13. Vogter DM, Culberson JL, Schochet SS, Gabriele OF, Kaufman HH: “High Spinal Dysraphism” Case report of a complex cervical meningocele. Acta Neurochir (Wien) 84: 136-139, 1987

Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

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