Cystic spinal dysraphism of the cervical and upper thoracic region

Cystic spinal dysraphism of the cervical and upper thoracic region

Autor Salomao, J. F. Google Scholar
Cavalheiro, S. Google Scholar
Matushita, H. Google Scholar
Leibinger, R. D. Google Scholar
Bellas, A. R. Google Scholar
Vanazzi, E. Google Scholar
Souza, LAM de Google Scholar
Nardi, A. G. Google Scholar
Instituição Oswaldo Cruz Fdn
Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
CT Scan Ctr Diagnost
Resumo Background: Cystic dysraphic lesions of the cervical and upper thoracic region are rare and only a few series have been published about the topic. These malformations can be divided into categories that include both myelocystoceles and the so-called cervical meningoceles or myelomeningoceles. Methods: A retrospective study of 18 patients was conducted. Results: in 17 patients a squamous or a cicatricial epithelium of variable thickness covered the dome of the lesions, while the base was covered with full-thickness skin. in one case the skin was entirely normal. Four patients displayed associated CNS malformations and three more had systemic congenital anomalies. All patients underwent surgical exploration and the length of time between birth and surgery ranged from 6 h to 9 months. the most frequent surgical finding, seen in 14 patients, was a stalk connecting the dorsal surface of the spinal cord to the cyst. in three patients the findings were consistent with myelocystocele. Only in one case was a true meningocele found. Hydrocephalus and Chiari II malformation were not as consistently associated as in myelomeningoceles. Neurological signs and symptoms were not so marked as in myelomeningoceles and were found in the follow-up of four patients. in two of them there was a non-progressive deficit, probably expressing an imperceptible involvement of the nervous system in the first year of life. the histopathological findings were of three types: neuroglial stalks, fibrovascular stalks and myelocystoceles. Conclusions: Cystic dysraphisms of the cervical and upper thoracic region differ clinically and structurally from meningomyelocele and have a more favorable outcome. We believe that these malformations have not been properly labeled and propose a classification based on the structures found inside the cyst.
Palavra-chave spinal dysraphism
myelomeningocele
cervical myelomeningocele
meningocele
myelocystocele
spina bifida cystica
Idioma Inglês
Data de publicação 2006-03-01
Publicado em Childs Nervous System. New York: Springer, v. 22, n. 3, p. 234-242, 2006.
ISSN 0256-7040 (Sherpa/Romeo, fator de impacto)
Publicador Springer
Extensão 234-242
Fonte http://dx.doi.org/10.1007/s00381-005-1161-1
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000235546000003
Endereço permanente http://repositorio.unifesp.br/handle/11600/28765

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