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Journal of Neurosurgical Sciences 2000 December;44(4):338-42

language: English

Lumbosacral con­gen­i­tal der­mal ­sinus pre­sent­ing in a 52-­year-old man. Case ­report

Alafaci C., Salpietro F. M., Grasso G., Collufio D., Caruso G., Morabito A., Tripodo E., Tomasello F.

From the Department of Neurosurgery, University of Messina, Messina, Italy


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Spinal con­gen­i­tal der­mal ­sinus is a ­rare ­entity ­which ­results ­from fail­ure of the neu­ro­ec­to­derm to sep­ar­ate ­from cuta­ne­ous ecto­derm dur­ing the pro­cess of neu­ru­la­tion. This epi­the­li­um-­lined ­tract ­forms a poten­tial com­mu­ni­ca­tion ­between the ­skin sur­face in the mid­line ­along the ­spine and the deep­er tis­sues. We ­describe a ­case of an asymp­to­mat­ic lum­bos­a­cral con­gen­i­tal der­mal ­sinus in a 52-year-old man. Microsurgical exci­sion of der­mal ­tract was per­formed ­with no post­op­er­a­tive com­pli­ca­tions and ­with a sat­is­fac­to­ry cos­met­ic ­result. The ­authors ­stress the impor­tance of an ear­ly neu­ro­ra­dio­log­i­cal and neu­ro­sur­gi­cal man­age­ment of the ­lesion. The embryo­gen­e­sis of ­this path­o­log­i­cal con­di­tion and the pos­sible com­pli­ca­tions are ­also dis­cussed.

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