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SPİNAL DERMOİD KİSTE BAĞLI REKÜRRENT MENENJİT VE HOLOKORD SUBDURALABSE

RECURRENT MENINGITIS AND HOLOCORD SUBDURALABSCESS CAUSED BY SPINAL DERMOID CYST

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Spinal subdural abscess caused by spread of infection via the dermal sinus tract is rare in children. Here, we present a hydrocephalus caused by recurrent meningitis arising from subdural abscess and infected dermoid tumor. A 4 year-old-boy was admitted to our clinic with the diagnosis of meningitis. Further evaluation disclosed a spinal dermoid tumor and subdural abscess associated with hydrocephalus. Dermoid tumor was resected surgically and antibiotherapy was started. Aventriculoperitoneal shunt has been inserted for hydrocephalus. In conclusion, recurrent meningitis may be caused by infected spinal dermoid tumor. In rare cases, spinal dermoid tumor may even cause subdural abscess. Thus, spinal evaluation of recurrent meningitis is mandatory. A clear cerebrospinal fluid (CSF) obtained using a ventricular puncture does not exclude spinal infectious foci.
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Abstract (Original Language): 
Dermal sinus enfeksiyonun yay›l›m›yla olusan spinal subdural abse çocuklarda nadirdir. Bu olguda enfekte dermoid tümör ve subdural abseye ba¤l› geliflen reküran menenjit ve hidrosefali sunulmufltur. 4 yafl›ndaki erkek çocuk menenjit tan›s›yla klini¤imize kabul edilmifltir. Sonras›nda hastada spinal dermoid tumor ve hidrosefali ile seyreden subdural abse saptanm›flt›r. Dermoid tumor rezeke edilip antibiyotik tedavisine bafllanm›flt›r. Hidrosefali tedavisi için ventriküloperitoneal shunt yerlefltirilmifltir. Sonuç olarak, rekürren menenjit, enfekte dermoid tümöre ba¤l› geliflebilmektedir. Daha da nadir olarak da spinal dermoid tumor subdural abseye neden olabilmektedir. Bu nedenle rekürrent menenjitlerde spinal inceleme gerekmektedir. Ventriküler ponksiyondan normal beyin omurilik s›v›s› (BOS) gelmesi spinal enfeksiyon oda¤›n› ekarte ettirmemektedir.
FULL TEXT (PDF): 
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  • 2
41-43
  • Turkish

REFERENCES

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Meningitis and subdural abscess caused by spinal dermoid cyst
‹stanbul T›p Fakültesi Dergisi Cilt / Volume: 69 • Say› / Number: 2 • Y›l/Year: 2006
- 42 -
Figure 1. Sagital a) enhanced T1 weighted thoracolumbar and b) T2 weighted cervical MRI
sections demonstrating the intramedullary dermoid tumor (arrow) and subdural abscess all
along the spinal cord.
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