Document Detail


Hydrocephalus in intraspinal dermoids and dermal sinuses: the spectrum of an uncommon association in children.
MedLine Citation:
PMID:  16404641     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hydrocephalus associated with intraspinal tumors constitutes a well-documented occurrence. The accepted mechanisms for this association seem to be well established. On the contrary, hydrocephalus in the context of intraspinal dermoids has been rarely recognized and its pathogenetic mechanism appears to be different. PATIENTS AND METHODS: The authors report four pediatric cases of spinal dermoid tumors and dermal sinuses that developed hydrocephalus during the evolution of these congenital lesions of ectodermal origin. DISCUSSION: In two children, the mechanism leading to the development of hydrocephalus consisted of leptomeningeal inflammation due to bacterial meningitis or to spillage of dermoid cyst contents in the cerebrospinal fluid spaces. We hypothesize that ventricular dilatation in the other two might be the result of chemical meningitis occurring during intrauterine life. Two cases developed ventriculomegaly prior to the diagnosis of their spinal cord disease. CONCLUSIONS: The unusual evolution of these cases suggests that neuroimaging studies that include the spine should be performed in cases of childhood "unexplained hydrocephalus".
Authors:
Juan F Martínez-Lage; Miguel A Pérez-Espejo; José G Tortosa; Javier Ros de San Pedro; Antonio M Ruiz-Espejo
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2006-01-11
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  22     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-23     Completed Date:  2007-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  698-703     Citation Subset:  IM    
Affiliation:
Regional Service of Neurosurgery, Virgen de la Arrixaca University Hospital, El Palmar, 30120, Murcia, Spain. juanf.martinezlage@carm.es
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MeSH Terms
Descriptor/Qualifier:
Dermoid Cyst / complications*,  pathology
Female
Head Injuries, Closed
Humans
Hydrocephalus / etiology*,  pathology
Infant
Magnetic Resonance Imaging / methods
Male
Spina Bifida Occulta / complications*,  pathology
Spinal Neoplasms / complications*,  pathology

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