title: Epidermoid cyst inside anterior sacral meningocele in an adult patient of Currarino syndrome manifesting with meningitis.
abstract: The Currarino triad, also known as the "Currarino Syndrome", is a     rare complex of congenital caudal anomalies including three main features; a     sacral bony deformity, anorectal malformations, and a presacral mass. We present     an extremely uncommon case of Currarino syndrome in adulthood presenting with     repeated episodes of meningitis. Magnetic resonance imaging of spine was     suggestive of caudal regression. Cord was low lying, conus ending at L3 level     with evidence of tethering at that level. A large cyst was noted in the sacral     canal extending forwards in the pelvis through the widened sacral foramina on     right side. She was operated through a posterior approach, via sacral     laminectomy. Dura was opened in the midline, large silvery white epidermoid     tumor was found completely occupying the anterior sacral meningocele. The case     and relevant literature is discussed.
authors.affiliation: Seth G.S. Medical College at K.E.M. Hospital, Department of Neurosurgery, Parel, Mumbai, Indian. drkansal@yahoo.co.in
authors.forename: Ritesh
authors.initials: R
authors.lastname: Kansal
authors.forename: Amit
authors.initials: A
authors.lastname: Mahore
authors.forename: Nitin
authors.initials: N
authors.lastname: Dange
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kukreja
mesh_terms: D001003:Anal Canal / Q000002:abnormalities / Q000473:pathology; D004065:Digestive System Abnormalities / Q000150:complications* / Q000473:pathology; D004814:Epidermal Cyst / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000209:etiology* / Q000473:pathology; D008588:Meningocele / Q000150:complications / Q000473:pathology*; D008875:Middle Aged; D012007:Rectum / Q000002:abnormalities / Q000473:pathology; D012447:Sacrum / Q000002:abnormalities / Q000473:pathology; D013116:Spinal Cord / Q000473:pathology; D013595:Syringomyelia / Q000150:complications* / Q000473:pathology