Cervical (myelo)meningocoele: report of 2 cases

doi:10.1054/jocn.2000.0862

Journal of Clinical Neuroscience

Volume 8, Issue 6, November 2001, Pages 586-587

https://doi.org/10.1054/jocn.2000.0862 Get rights and content

Abstract

Two cases with posterior protruding cervical dysraphic lesions are presented; neuroimaging and clinical features of this rare clinical entity are discussed.

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There are more references available in the full text version of this article.

Cited by (18)

Surgical technique and outcome in cervical and thoracic myelomeningocoele surgery
2006, Journal of Clinical Neuroscience
Cervical and thoracic myelomeningocoeles differ from common lumbosacral myelomeningocoeles in many respects. We review the surgical technique and outcome achieved for a series of six infants who underwent surgery for cervical or thoracic myelomeningocoele. Five patients, who had intradural exploration and microsurgical untethering of the spinal cord, were neurologically stable on follow-up. The other patient, who had a simple subcutaneous resection of the sac without release of the intradural tethering bands, was re-operated on 16 months later, with progressive neurological symptoms due to cord tethering. Following re-exploration and microsurgical untethering of the spinal cord, the neurological deficits significantly improved. We suggest that the surgical technique in these lesions should include careful intradural exploration and microsurgical release of the spinal cord by meticulous resection of all tethering bands. This enables postoperative neurological improvement and possible prevention of future neurological deficits due to cord tethering.
Cervical myelomeningocele - Follow-up of five patients
2003, European Journal of Paediatric Neurology
Only a few series of patients with cervical myelomenigocele (cMMC) and cervical meningocele (cMC) have been published. Interventions as well as the neurologic, orthopaedic, urologic and intellectual outcomes were analysed in this retrospective description of five patients with cMMC and cMC diagnosed in the period 1984–1999. Four patients suffered from cMMC, one from cMC. The average duration of follow-up was 9.5 years. None of the patients had periconceptual prevention with folic acid. Three had a Chiari II malformation and two a hydrocephalus. Tethering of the cervical cord was demonstrated in three patients at follow-up. All children achieved an independent ambulatory function and urinary continence. Incomplete sensorimotor hemiparesis was present in two children, and a mild unilateral arm paresis in one. Two of five patients had age appropriate cognitive functions. Three patients with mild mental retardation or behavioural problems had to be placed in special classes. The outcome of patients with cMMC is favourable regarding to the neurologic, orthopaedic and urologic problems compared with lower neural tube defects. However, the burden of repeated examinations and therapies is considerable and induces high costs, therefore prevention with periconceptual folic acid is a crucial issue also in cMMC. Spinal cord dysfunction has to be considered in growing children due to persistent tethering or re-tethering, therefore regular neurologic and urodynamic investigations are of particular importance.
Spinal dysraphism-histopathological study of 45 cases
2021, Journal of Clinical and Diagnostic Research
Surgical pathoembryology and treatment of limited dorsal myeloschisis
2021, Japanese Journal of Neurosurgery
Cervicothoracic spinal dysraphism: Unravelling the Pandora's box
2019, Journal of Pediatric Neurosciences
True cervicothoracic meningocele: A rare and benign condition
2015, Neurology International

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^f1: Correspondence to: Shunji Nishio, Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Fax: +81-92-642-5526; E-mail:[email protected]

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CommunicationsCervical (myelo)meningocoele: report of 2 cases

Abstract

Spina bifida: the significance of the level and extent of the defect to the morphogenesis

Develop Med Child Neurol

Studies in spina bifida cysticaReduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations

J Neurol Neurosurg Psychiat

Developmental Neuropathology

Cervical myelomeningocelesReduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations

Neurosurgery

Prenatal demonstration of a cervical myelocystoceleReduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations

Prenat Diagn

The nature of congenital posterior cervical or cervicothoracic midline cutaneous mass lesions. Report of eight casesReduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations

J Neurosurg

Communications
Cervical (myelo)meningocoele: report of 2 cases