JRM

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Case Report
Spinal meningitis and abscess associated with dermal sinus tract: a case report
This case report discusses an 11-month-old male with a dermal sinus tract (DST) complicated by spinal meningitis and a long-segment intramedullary abscess. DSTs are rare congenital malformations that may remain asymptomatic until complicated by infections or neurological deficits. The patient was presented with prolonged fever and motor weakness in the extremities, leading to the discovery of a lumbosacral DST and associated abscess via cerebrospinal fluid (CSF) analysis and contrast-enhanced spinal Magnetic Resonance Imaging (MRI). Prompt surgical excision of the DST, drainage of the abscess, and prolonged antibiotic therapy resulted in significant clinical improvement. This case underscores the importance of early recognition, advanced imaging, and aggressive management to mitigate the severe neurological consequences of DST-associated infections.


1. Ackerman LL, Menezes AH. Spinal congenital dermal sinuses: a 30-year experience. Pediatrics. 2003;112(3 Pt 1):641-647. doi:10.1542/peds.112.3. 641
2. Ramnarayan R, Dominic A, Alapatt J, Buxton N. Congenital spinal dermal sinuses: poor awareness leads to delayed treatment. Child’s Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg. 2006;22(10):1220-1224. doi:10.1007/s00381-006-0073-z
3. Mete M, Umur AS, Duransoy YK, et al. Congenital dermal sinus tract of the spine: experience of 16 patients. J Child Neurol. 2014;29(10):1277-1282. doi:10.1177/0883073813520501
4. Tyagi R. Spinal infections in children: a review. J Orthop. 2016;13(4):254-258. doi:https://doi.org/10.1016/j.jor.2016.06.005
5. Byrne RW, Von Roenn KA, Whisler WW. Intramedullary abscess: a report of two cases and a review of the literature. Neurosurgery. 1994;35(2):321-326. doi:10.1227/00006123-199408000-00023
6. Rogers AP, Lerner A, Metting S, Sahai-Srivastava S. Cervical intramedullary spinal cord abscess: a case report. Radiol Infect Dis. 2017;4(3):113-116. doi: 10.1016/j.jrid.2017.08.004
7. Vankipuram S, Sahoo SK, Srivastava C, Ojha BK. Spinal cord abscess secondary to infected dorsal dermal sinus in an infant: uncommon presentation of a known entity. BMJ Case Rep. 2017;2017:bcr2017222366. doi:10.1136/bcr-2017-222366
8. Foster MT, Moxon CA, Weir E, Sinha A. Dermal sinus tracts. BMJ. 2019; 366:l5202. doi:10.1136/bmj.l5202
9. McIntosh R, Merritt KK, Richards MR, Samuels MH, Bellows MT. The incidence of congenital malformations: a study of 5,964 pregnancies. Pediatrics. 1954;14(5):505-522. doi:10.1542/peds.14.5.505
10. Kumar J, Afsal M, Garg A. Imaging spectrum of spinal dysraphism on magnetic resonance: a pictorial review. World J Radiol. 2017;9(4):178-190. doi:10.4329/wjr.v9.i4.178
11. French BN. Midline fusion defects and defects of formation. In: Youmans JR, ed. Neurological Surgery. Vol 39. WB Saunders Company; 1990.
12. De Vloo P, Lagae L, Sciot R, Demaerel P, van Loon J, Van Calenbergh F. Spinal dermal sinuses and dermal sinus-like stalks analysis of 14 cases with suggestions for embryologic mechanisms resulting in dermal sinus-like stalks. Eur J Paediatr Neurol EJPN Off J Eur Paediatr Neurol Soc. 2013; 17(6):575-584. doi:10.1016/j.ejpn.2013.04.003
13. Prasad GL, Hegde A, Divya S. Spinal Intramedullary Abscess Secondary to Dermal Sinus in Children.Eur J Pediatr Surg. 2019;29(3):229-238. doi:10. 1055/s-0038-1655736
14. Chopra A, Patra B, Aneja S, Mukherjee S, Maheswari A, Seth A. Spinal congenital dermal sinus presenting as a diagnostic conundrum. Pediatr Neurosurg. 2012;48(3):187-190. doi:10.1159/000345595
15. Simon JK, Lazareff JA, Diament MJ, Kennedy WA. Intramedullary abscess of the spinal cord in children: a case report and review of the literature. Pediatr Infect Dis J. 2003;22(2):186-192. doi:10.1097/01.inf.0000048910. 19136.49
16. Barkovich JA. Pediatric Neuroimaging. Lippincott Williams & Wilkins; 1997.
17. Ramesh VG, Karthikeyan KV, Kitchanan S, Sriraman B. Holocord abscess in association with congenital dermal sinus. J Pediatr Neurosci. 2013;8(3): 198-200. doi:10.4103/1817-1745.123662
Volume 2, Issue 1, 2025
Page : 20-22
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