Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Intraspinal Abscess Associated with Congenital Dermal Sinus: Case Report

선천성 피부동로를 통한 척수내 경막하농양: 증례 보고

  • Kim, Bom-Yi (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Jung, Won-Sang (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Ihn, Yon-Kwon (Department of Radiology, College of Medicine, The Catholic University of Korea)
  • 김봄이 (가톨릭대학교 의과대학 방사선과학교실) ;
  • 정원상 (가톨릭대학교 의과대학 방사선과학교실) ;
  • 인연권 (가톨릭대학교 의과대학 방사선과학교실)
  • Published : 2011.03.01
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Abstract

Dermal sinus tracts are remnants of incomplete neural tube closure. Dermal sinus tracts in the spine range from asymptomatic pits to tracts with significant disease. Congenital spinal dermal sinus tract can produce significant morbidity if not adequately managed. Spinal subdural abscess caused by the spread of an infection within the dermal sinus tract is rare in children. We now described a 3-year-old male who presented with extensive spinal subdural abscess resulting from dermal sinus tract that was low-lying in the sacral area.

소아에서 발생하는 척수강 내 농양은 드물게 선천성 피부동로를 통해 감염이 파급되어 발생하는 질환으로 전 세계적으로 산발적인 증례보고가 있으며, 초기 진단 후 적절한 수술적 치료가 환자의 신경학적 예후에 중요하다고 알려져 있다. 저자들은 3세 남아에서 발생한 피부동로를 통한 척수 내 경막하농양 1예를 경험하였기에, 특징적인 영상소견을 보고하는 바이다.

Keywords

References

  1. Velissaris D, Aretha D, Fligou F, Filos KS. Spinal subdural staphylococcus aureus abscess : case report and review of the literature. World J Emerg Surg 2009;4:31 https://doi.org/10.1186/1749-7922-4-31
  2. Benzil D, Epstein M, Knuckey N. Intramedullary epidermoid associated with an intramedullary spinal abscess secondary to a dermal sinus. Neurosurgery 1992;30:118-120 https://doi.org/10.1227/00006123-199201000-00022
  3. Chen C, Lin K, Wang H, Lui T. Dermoid cyst with dermal sinus tract complicated with spinal subdural abscess. Pediatric Neurology 1999;20:157-160 https://doi.org/10.1016/S0887-8994(98)00126-X
  4. 장재원, 김상엽, 김혜숙, 이은주, 이상길. 영아기에 연속적인 세균성 뇌수막염으로 발현한 선천성 피부동 증례 1례. 대한소아신경학회지 2006;14:153-157
  5. Park SW, Yoon SH, Cho KH, Shin YS, Ahn YH. Infantile lumbosacral spinal subdural abscess with sacral dermal sinus tract. Spine 2007;32:E52- E55 https://doi.org/10.1097/01.brs.0000251012.37188.37
  6. Dev R, Husain M, Gupta A, Gupta R. MR of multiple intraspinal abscess associated with congenital dermal sinus. AJNR Am J Neuroradiol 1997;18:742-743
  7. Guzel N, Eras M, Guzel D. A child with spinal intramedullary abscess. Childs Nerv Syst 2003;19:773-776 https://doi.org/10.1007/s00381-003-0802-5