[Cervical meningocele and meningomyelocystocele. Apropos of 4 cases].
Published cases of cervical dysraphic lesions are rare. Their estimated proportion is about 5% of the entire group of spinal dysraphism. Four cases are reported, representing 2 types of lesion: 2 meningoceles with a simple fibrous band fixing the posterior aspect of the cord to the skin and 2 meningomyelocystoceles with other associated anomalies (hydromyelia, hydrocephalus, Chiari II, Peter's ocular anomaly). The clinical presentation is that of a soft posterior cervical mass without marked neurological impairement. The surgical treatment is simple, consisting in the resection of the lesion, intradural exploration to untighten the cord if fixed by a fibrous band, and drainage of the hydrocephalus. Neurological outcome is generally good immediately but may need sometimes secondary surgical exploration.
May
D
D
Clinique de neurochirurgie, Hôpital cantonal universitaire de Genève, Suisse.
Rilliet
B
B
Berney
J
J
D000015:Abnormalities, Multiple; D002574:Cervical Vertebrae; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008591:Meningomyelocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology; D014057:Tomography, X-Ray Computed
Méningocèles et méningomyélocystocèles cervicales. A propos de 4 cas.