title: Anterior thoracic myelomeningocele presenting as a retromediastinal mass. Case report.
abstract: Myelomeningocele presenting as a retromediastinal mass originating from the midline defect through the fused T-4, T-5, and T-6 VBs is described. An 11-year-old boy with a completely normal systemic and neurological examination suffering pulmonary problems such as effort dyspnea and severe kyphosis was evaluated and an anterior thoracic myelomeningocele was diagnosed. The boy underwent surgery for excision of the meningomyelocele sac and correction of kyphoscoliosis. His year-long follow-up period as an outpatient was uneventful. A comprehensive PubMed search of the literature returned no results for an "anterior thoracic myelomeningocele" query. To the best of the authors' knowledge, this is the only case described in the literature.
authors.affiliation: Department of Neurosurgery, Pediatric Neurosurgery Division, Gazi University, Faculty of Medicine, Ankara, Turkey. alpob@yahoo.com
authors.forename: Alp Ozgün
authors.initials: AO
authors.lastname: Börcek
authors.forename: Ertan
authors.initials: E
authors.lastname: Ergün
authors.forename: Hakan
authors.initials: H
authors.lastname: Emmez
authors.forename: Gökhan
authors.initials: G
authors.lastname: Kurt
authors.forename: Fikret
authors.initials: F
authors.lastname: Dogulu
authors.forename: M Kemali
authors.initials: MK
authors.lastname: Baykaner
mesh_terms: D002648:Child; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications / Q000601:surgery*; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery*; D012600:Scoliosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome