title: Cervicothoracic nonterminal myelocystocele with mature teratoma.
abstract: Nonterminal myelocystocele is a rare type of spinal dysraphism characterized by a closed defect with an underlying CSF-filled cyst, either contiguous with the central spinal canal or attached to the spinal cord by a fibrovascular stalk. The authors report the unusual case of a neonate with a prenatal diagnosis of cervicothoracic nonterminal myelocystocele who underwent postnatal surgical untethering of the lesion. Pathological analysis of the excised lesion revealed neuroglial tissue with an ependymal lining associated with a mature teratoma. Three months after surgery, the patient has normal lower-extremity sensorimotor function and no evidence of bowel or bladder dysfunction. To the best of the authors' knowledge, this is the first report of a patient with a nonterminal myelocystocele found to have an associated mature teratoma.
authors.affiliation: Department of Neurosurgery, Baylor College of Medicine, and Division of Pediatric Neurosurgery;
authors.forename: Loyola V
authors.initials: LV
authors.lastname: Gressot
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Mohila
authors.forename: Andrew
authors.initials: A
authors.lastname: Jea
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Luerssen
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Bollo
mesh_terms: D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D035002:Lower Extremity / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008591:Meningomyelocele / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D011296:Prenatal Diagnosis; D020127:Recovery of Function; D016137:Spina Bifida Cystica / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D013724:Teratoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome