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Posterior cervical congenital dermal sinus tract: case report and review of literature
BACKGROUND AND IMPORTANCE: Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers. With 1% of all congenital DST cases found in the cervical region, only 4% of a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10397304/ https://www.ncbi.nlm.nih.gov/pubmed/37532714 http://dx.doi.org/10.1038/s41394-023-00575-5 |
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author | Vokshoor, Amir Jajj, Harseerat Grunwald, Tiffany Kolker, Steven Petros, Jack |
author_facet | Vokshoor, Amir Jajj, Harseerat Grunwald, Tiffany Kolker, Steven Petros, Jack |
author_sort | Vokshoor, Amir |
collection | PubMed |
description | BACKGROUND AND IMPORTANCE: Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers. With 1% of all congenital DST cases found in the cervical region, only 4% of all cases are diagnosed after the age of 20. CLINICAL PRESENTATION: In this case, a 65-year-old woman with a congenital DST at the cervical level presented with symptoms of neck and some arm pain, suboccipital headaches, and unique external characteristics. Neck Disability Index and visual analog scale were used to assess the patient’s preoperative and postoperative pain, and quality of life. Patient underwent an operative intervention, where the DST was surgically removed followed by interlaminar decompression at C1–C2, excision of the epidural component, and biopsy followed by plastic surgical repair. Pathology analysis indicated a squamous epithelial-lined sinus tract interacting with the dura. Most notably, a meningothelial proliferation with associated psammomatous calcifications was identified, similar to a meningioma. CONCLUSION: A review of literature was conducted to further discuss clinical and radiological presentation as well as to document the novel appearance of this congenital DST. As one of the oldest cases of DST, it demonstrated unusual pathological characteristics with a meningothelial proliferation, compatible with meningioma, reported at the epidural level. |
format | Online Article Text |
id | pubmed-10397304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-103973042023-08-04 Posterior cervical congenital dermal sinus tract: case report and review of literature Vokshoor, Amir Jajj, Harseerat Grunwald, Tiffany Kolker, Steven Petros, Jack Spinal Cord Ser Cases Case Report BACKGROUND AND IMPORTANCE: Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers. With 1% of all congenital DST cases found in the cervical region, only 4% of all cases are diagnosed after the age of 20. CLINICAL PRESENTATION: In this case, a 65-year-old woman with a congenital DST at the cervical level presented with symptoms of neck and some arm pain, suboccipital headaches, and unique external characteristics. Neck Disability Index and visual analog scale were used to assess the patient’s preoperative and postoperative pain, and quality of life. Patient underwent an operative intervention, where the DST was surgically removed followed by interlaminar decompression at C1–C2, excision of the epidural component, and biopsy followed by plastic surgical repair. Pathology analysis indicated a squamous epithelial-lined sinus tract interacting with the dura. Most notably, a meningothelial proliferation with associated psammomatous calcifications was identified, similar to a meningioma. CONCLUSION: A review of literature was conducted to further discuss clinical and radiological presentation as well as to document the novel appearance of this congenital DST. As one of the oldest cases of DST, it demonstrated unusual pathological characteristics with a meningothelial proliferation, compatible with meningioma, reported at the epidural level. Nature Publishing Group UK 2023-08-02 /pmc/articles/PMC10397304/ /pubmed/37532714 http://dx.doi.org/10.1038/s41394-023-00575-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Vokshoor, Amir Jajj, Harseerat Grunwald, Tiffany Kolker, Steven Petros, Jack Posterior cervical congenital dermal sinus tract: case report and review of literature |
title | Posterior cervical congenital dermal sinus tract: case report and review of literature |
title_full | Posterior cervical congenital dermal sinus tract: case report and review of literature |
title_fullStr | Posterior cervical congenital dermal sinus tract: case report and review of literature |
title_full_unstemmed | Posterior cervical congenital dermal sinus tract: case report and review of literature |
title_short | Posterior cervical congenital dermal sinus tract: case report and review of literature |
title_sort | posterior cervical congenital dermal sinus tract: case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10397304/ https://www.ncbi.nlm.nih.gov/pubmed/37532714 http://dx.doi.org/10.1038/s41394-023-00575-5 |
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