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CASE REPORT
Dorsal dermal sinus presenting as quadriparesis
  1. Ishita Majumdar1,
  2. Ritabrata Kundu1,
  3. Joydeep Das1 and
  4. Devdeep Mukherjee2
  1. 1 Pediatrics, Institute of Child Health, Kolkata, India
  2. 2 Royal Manchester Children’s Hospital, Manchester, UK
  1. Correspondence to Dr Devdeep Mukherjee, doc.devdeep{at}gmail.com

Abstract

Dorsal dermal sinus (DDS) represents the spectrum of spinal dysraphism. Children may present with features of meningitis. A 13-month male child presented with features of meningitis and quadriparesis. Clinical examination revealed a small pit over the thoracic spine. MRI was suggestive of a DDS. Initially, the patient responded to antibiotics and methylprednisolone, which was given for resolving the mass effect. However, he had a recurrence of symptoms and underwent surgical exploration and resection of DSS with resolution of symptoms. Careful examination of the back is extremely essential in children with meningitis. Radiological investigation helps in visualisation of the DSS. Although rare in children, they may present with recurrent meningitis.

  • neurology
  • infection (neurology)
  • neuroimaging
  • spinal cord
  • radiology
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Footnotes

  • Contributors DM, RK, JD and IM have been involved in the patient management, planning of investigation, collecting data, planning of treatment and follow-up. All the authors have contributed to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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