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

Copyright © 2000 EDIZIONI MINERVA MEDICA

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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