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Conflicting Diagnosis of Dermal Sinus Tract and Tethered Cord

Published online by Cambridge University Press:  23 September 2014

Chris J. Hong
Affiliation:
Bachelor of Health Sciences (Honours) Program, McMaster University, Hamilton, Ontario, Canada
Saleh A. Almenawer*
Affiliation:
Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada
Boleslaw Lach
Affiliation:
Department of Pathology & Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
Nina Stein
Affiliation:
Department of Radiology, McMaster University, Hamilton, Ontario, Canada
Benedicto Baronia
Affiliation:
Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada
Sheila K. Singh
Affiliation:
Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada
*
Division of Neurosurgery, Department of Surgery, McMaster University, 47 Caroline Street North, Suite 503, Hamilton, Ontario, L8R 2R6, Canada. Email: Dr_menawer@hotmail.com.
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Dermal sinus tracts (DSTs) are an uncommon form of occult spinal dysraphism that is attributed to incomplete neural tube closure during fetal development. Dermal sinus tracts are found along the midline neuroaxis from the nasion to the coccyx, but they most commonly appear in the lumbar region. Dermal sinus tracts are more commonly associated with other developmental abnormalities such as skin tags, naevi, spinal dermoid cysts, meningocoele, lipomas and spinal cord tethering, and can be complicated by cerebrospinal fluid drainage, shedding of keratin from the epithelialized tract, and infection such as meningitis.

Type
Brief Communications
Copyright
Copyright © The Canadian Journal of Neurological 2013

References

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