胸背部皮肤窦伴继发性感染的髓内皮样囊肿
Thoracic Dorsal Dermal Sinus with Secondarily Infected Intramedullary Dermoid Cyst.
作者信息
Patwari Sriram, Reddy Bhavana Nagabhushana, Kapanigowda Manoj Kumar, Ramesha Sujith Kamalakshi, Chadaga Harsha
机构信息
Department of Radiology, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India.
Department of Pediatrics, Bangalore Baptist Hospital, Bengaluru, Karnataka, India.
出版信息
Asian J Neurosurg. 2019 Jul-Sep;14(3):975-977. doi: 10.4103/ajns.AJNS_13_18.
Dorsal dermal sinus (DDS) is an uncommon type of occult spinal dysraphism most often located in the lumbar region. Patients present either due to secondary infection or compression of neural structures by an associated dermoid or epidermoid cyst. We report a rare case of 2-year-old child who presented with progressive paraparesis with magnetic resonance imaging of spine showing a thoracic DDS with an infected intramedullary dermoid cyst. Partial excision of the dermoid cyst and resection of the sinus opening was done with partial clinical improvement postsurgery.
背侧皮样窦（DDS）是一种罕见的隐性脊柱闭合不全类型，最常位于腰椎区域。患者出现症状的原因要么是继发感染，要么是相关的皮样囊肿或表皮样囊肿对神经结构造成压迫。我们报告了一例罕见病例，一名2岁儿童因进行性双下肢轻瘫就诊，脊柱磁共振成像显示为胸段DDS合并髓内感染性皮样囊肿。对皮样囊肿进行了部分切除，并切除了窦口，术后临床症状有部分改善。
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