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Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst

1 Department of Radiology, Columbia Asia Referral Hospital, Bengaluru, Karnataka, India
2 Department of Pediatrics, Bangalore Baptist Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Sriram Patwari,
Department of Radiology, Columbia Asia Referral Hospital, 26/4, Brigade Gateway, Beside Metro Cash and Carry West, Malleshwaram, Bengaluru - 560 055, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_13_18

Dorsal dermal sinus (DDS) is an uncommon type of occult spinal dysraphism most often located in the lumbar region. Patients present either due to secondary infection or compression of neural structures by an associated dermoid or epidermoid cyst. We report a rare case of 2-year-old child who presented with progressive paraparesis with magnetic resonance imaging of spine showing a thoracic DDS with an infected intramedullary dermoid cyst. Partial excision of the dermoid cyst and resection of the sinus opening was done with partial clinical improvement postsurgery.

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