Chandra Ramesh V V, Kumar Phani M
Department of Neurosurgery, GSL Medical College and General Hospital, Rajahmundry, India.
J Pediatr Neurosci. 2011 Jan;6(1):55-7. doi: 10.4103/1817-1745.84410.
Dysraphisms involving cervical region are very rare and there are very few series describing their follow-up in literature. Here, we report a 6-year-old boy who underwent postnatal "cosmetic" repair of posterior cervical cystic lesion and presented to us with a large recurrence with syringohydromyelia and tethering. Tethered cord should be suspected in the presence of meningocele and intact neurology. Treatment protocols of such complicated cervical spinal dysraphisms should include intradural exploration and detethering, with an aim to prevent neurological deterioration in future.
涉及颈部区域的神经管闭合不全非常罕见，且文献中描述其随访情况的系列报道很少。在此，我们报告一名6岁男孩，他在出生后接受了颈部后方囊性病变的“美容”修复，随后出现了巨大复发，并伴有脊髓空洞症和脊髓栓系。在存在脊膜膨出且神经功能完好的情况下，应怀疑有脊髓栓系。此类复杂的颈部脊髓神经管闭合不全的治疗方案应包括硬膜内探查和松解栓系，以防止未来神经功能恶化。
