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ISSN: 2329-6895
Journal of Neurological Disorders
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An Interesting Case of Thoracic Dermal Sinus

Sunil Munakomi*
Department of Neurosurgery, College of Medical Sciences, Chitwan, Nepal, India
Corresponding Author : Sunil Munakomi
Department of Neurosurgery
College of medical sciences, Chitwan, Nepal, India
Tel: +977 56-524203
E-mail: [email protected]
Received:November 18, 2015; Accepted: November 20, 2015; Published: November 23,2015
Citation: Munakomi S (2015) An Interesting Case of Thoracic Dermal Sinus. J Neurol Disord 4:i102. doi:10.4172/2329-6895.1000i102
Copyright: © 2015 Munakomi S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

11 years old girl presented with history of on and off discharge from her upper back since childhood. Examination revealed presence of dermal sinus on her back (Figure 1). Neurological examination was normal. MRI revealed presence of track going upwards to the cervical region with presence of syrinx and diastematomyelia.

Description
11 years old girl presented with history of on and off discharge from her upper back since childhood. Examination revealed presence of dermal sinus on her back (Figure 1). Neurological examination was normal. MRI revealed presence of track going upwards to the cervical region with presence of syrinx (Figures 2 and 3) and diastematomyelia (Figure 4).
Dermal sinus results from a failure of neuroectoderm to separate from the cutaneous ectoderm [1]. Thoracic and cervical regions where the neural folds fuse first are the rare sites for dorsal dermal sinus [2]. It is invariably associated with presence of dermoid and epidermoid tumors, tethered cord or defects of the posterior arches of the vertebral column. Common mode of presentation is frequent bouts of unexplained meningitis [3].
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