Document Detail


MR of terminal myelocystoceles.
MedLine Citation:
PMID:  8536754     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To delineate the clinical and MR findings in children with an unusual type of spinal dysraphism, the terminal myelocystocele. Infants with a terminal myelocystocele carry a favorable neurologic prognosis if the entity is diagnosed early. Understanding the MR characteristics of this entity will allow for earlier and more accurate diagnosis. METHOD: Analysis of the medical charts and MR studies in 15 children with surgically and histologically proven myelocystocele. RESULTS: In all 15 children, MR demonstrated the primary findings of a terminal cyst of the central canal of the spinal cord which is tethered and herniated with arachnoid and cerebrospinal fluid through an area of spinal dysraphia onto the back as a mass. Of these children, 10 had additional findings (one or more) on MR of Chiari I (five cases), Chiari II (one case), cervicothoracic hydromyelia (two cases), lumbar hydromyelia (two cases), hydrocephalus (2 cases) segmentation anomalies of vertebrae (3 cases) and partial agenesis of sacrum (six cases). Of the clinical findings, all 15 children had a back mass, 10 also had cloacal exstrophy. One had imperforate anus, 10 were girls, five had ambiguous genitalia and all were neurologically intact. CONCLUSION: Children with a terminal myelocystocele present with a back mass and there is a high association with cloacal exstrophy. MR is the best noninvasive modality to diagnose all of the components of a terminal myelocystocele and the associated central nervous system findings.
Authors:
S E Byrd; C Harvey; C F Darling
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of radiology     Volume:  20     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-02-08     Completed Date:  1996-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  215-20     Citation Subset:  IM    
Affiliation:
Department of Radiology, Children's Memorial Hospital, Chicago, IL 60614, USA.
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MeSH Terms
Descriptor/Qualifier:
Anus, Imperforate / diagnosis
Arachnoid / pathology
Arnold-Chiari Malformation / classification,  diagnosis
Cloaca / abnormalities
Female
Genitalia, Female / abnormalities
Humans
Hydrocephalus / diagnosis,  pathology
Infant
Infant, Newborn
Magnetic Resonance Imaging*
Male
Meningomyelocele / cerebrospinal fluid,  diagnosis*,  pathology
Neurologic Examination
Retrospective Studies
Sacrum / abnormalities
Spinal Canal / pathology
Spinal Cord / pathology
Spinal Dysraphism / cerebrospinal fluid,  diagnosis,  pathology
Spine / abnormalities
Syringomyelia / diagnosis,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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