Karatas Y, Ustun M E
Department of Neurosurgery, Necmettin Erbakan University Meram Medical Faculty , Konya, Turkey.
Department of Neurosurgery, Konya Hospital , Konya, Turkey.
Spinal Cord Ser Cases. 2015 Oct 8;1:15021. doi: 10.1038/scsandc.2015.21. eCollection 2015.
The objective of this study was to report on a 34-year-old woman who presented with tethered cord syndrome due to dermal sinüs tract. A 34-year-old woman had got dermal sınüs tract admitted to our hospital with swelling on the neck, pain and numbness on the left upper limb. She was treated by surgical removal of dermal sinuses and untethering the spinal cord which is stretched by the dermal sinus. Congenital dermal sinus tracts are uncommon types of cranial and spinal dysraphisms. They can occur in the midline of the craniospinal axis from the occiput to the sacral region. For dermal sinuses, cervical region is very rare location that is reported in the literature. They are diagnosed usually in childhood with skin signs, neurological deficits, local infections and meningitis. We present a rare case of dermal sinus tract located in cervical region. Early diagnosis and treatment of cervical dermal sinus tract are important to prevent neurological deficits.
本研究的目的是报告一名34岁因皮肤窦道导致脊髓栓系综合征的女性病例。一名34岁女性因皮肤窦道入院，颈部肿胀，左上肢疼痛麻木。她接受了手术切除皮肤窦道并松解被皮肤窦道牵拉的脊髓的治疗。先天性皮肤窦道是一种不常见的颅脊柱闭合不全类型。它们可发生于从枕部到骶部的颅脊柱轴中线。对于皮肤窦道，文献报道颈部是非常罕见的发病部位。它们通常在儿童期因皮肤体征、神经功能缺损、局部感染和脑膜炎而被诊断。我们报告了一例罕见的位于颈部的皮肤窦道病例。早期诊断和治疗颈部皮肤窦道对于预防神经功能缺损很重要。
