Intramedullary Spinal Cord Abscess-Rare Complication of a Congenital Dermal Sinus: Report of a Case in a Toddler

Document Type

Article

Publication Title

Journal of Pediatric Neurosciences

Abstract

Lumbosacral region is the commonest location for a dermal sinus (DS). The DS provides a natural pathway for infections of the deeper tissues such as the meninges or spinal cord, depending on its termination. One of the rarest and serious complications of a DS is an intramedullary spinal cord abscess. One such case has been reported here. A 2-year boy presented with high-grade fever, acute onset flaccid paraplegia and urinary retention. A L5 level DS was noted. Imaging showed a D12-L5 heterogeneously enhancing intradural lesion suggestive of an abscess. Multi-level laminectomy and drainage of abscess with removal of an inclusion epidermoid was performed. Complete recovery of all neurological functions was achieved that remained stable at 60 months follow up.

First Page

351

Last Page

353

DOI

10.4103/jpn.JPN_23_21

Publication Date

1-1-2022

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