Progression of Spinal Dermal Sinus Tracts to Intraspinal Abscess: A Single Center Experience

Baran, O�uz; Ayg�n, Fatma Deniz; Kafadar, Ali Metin; Erdin�ler, Pamir; Camc�o�lu, Y�ld�z

Progression of Spinal Dermal Sinus Tracts to Intraspinal Abscess: A Single Center Experience [Haydarpasa Numune Med J]

Haydarpasa Numune Med J. 2021; 61(3): 310-313 | DOI: 10.14744/hnhj.2020.46354

Progression of Spinal Dermal Sinus Tracts to Intraspinal Abscess: A Single Center Experience

O�uz Baran¹, Fatma Deniz Ayg�n², Ali Metin Kafadar³, Pamir Erdin�ler³, Y�ld�z Camc�o�lu⁴
¹Department of Neurosurgery, Ko� University Hospital, Istanbul, Turkey
²Division Of Infectious Diseases, Department Of Pediatrics, Istanbul Kanuni Sultan Suleyman Research And Training Hospital, Istanbul, Turkey
³Department Of Neurosurgery, Medical Faculty, Istanbul University-cerrahpasa, Istanbul, Turkey
⁴Division Of Immunology-allergy And Infectious Diseases, Department Of Pediatrics, Medical Faculty, Istanbul University-cerrahpasa, Istanbul, Turkey

INTRODUCTION: Dermal sinus tract is a midline lesion between skin and deep tissues. They are crucial to be early diagnosed before leading to severe complications. In this paper, we report 5 spinal dermal sinus tract cases that were lead to intradural/intramedullary abscess formations because of late diagnose or late admission to hospital.
METHODS: The patients with spinal dermal sinus tract who were operated in the authors� department between January 2010 to September 2019 were investigated from medical records.
RESULTS: Five patients diagnosed with intradural/intramedullary abscess due to spinal dermal sinus tract were found. It is understood that all abscess formations were complications of undiagnosed and missed spinal dermal sinus tracts.
DISCUSSION AND CONCLUSION: Dermal sinus tract is one of the important pathologies that pediatricians and neurosurgeons should pay attention to. Missing or delay in diagnosis can lead to irreversible deficits.

Keywords: dermal sinus tract, intraspinal abscess, complication

Spinal Abse ile Prezente Olan Spinal Dermal Sinus Trakt� Olgular�: Tek Merkez Deneyimi

O�uz Baran¹, Fatma Deniz Ayg�n², Ali Metin Kafadar³, Pamir Erdin�ler³, Y�ld�z Camc�o�lu⁴
¹Ko� �niversitesi Hastanesi, N�ro�ir�rji Klini�i, �stanbul
²Kanuni Sultan Suleyman E�itim Ve Ara�t�rma Hastanesi, �ocuk Enfeksiyon Hastal�klar� Bilim Dal�
³�stanbul �niversitesi-Cerrahpa�a, T�p Fak�ltesi, N�ro�irurji Anabilim Dal�
⁴�stanbul �niversitesi-Cerrahpa�a, T�p Fak�ltesi, Pediatri Anabilim Dal�, �mm�noloji-allerji Ve Enfeksiyon Hastal�klar� Bilim Dal�

G�R�� ve AMA�: Dermal sinüs traktlar�, cilt ve derin dokular aras�nda yer alan orta hat lezyonlar�d�r. Ciddi komplikasyonlara yol açmadan tan� konulmas� önemlidir. Bu çal�şmada, geç tan� alm�ş ve/veya hastaneye geç yat�ş nedeniyle intradural / intramedüller abse oluşumuna yol açan 5 spinal dermal sinüs trakt� vakas� bildirilmiştir.
Y�NTEM ve GERE�LER: Ocak 2010 ile Eylül 2019 aras�nda ameliyat edilen spinal dermal sinüs trakt� vakalar� t�bbi kay�tlardan incelenmiştir.
BULGULAR: Spinal dermal sinüs trakt�na bağl� intradural / intramedüller abse tan�s� alan 5 hasta bulundu. Tüm vakalar�n tan� konmam�ş ve/veya geç tedavi edilmiş dermal sinüs trakt�na sahip hastalar olduğu saptand�.
TARTI�MA ve SONU�: Dermal sinüs trakt�, pediatristlerin ve nöroşirurjenlerin dikkat etmesi gereken önemli patolojilerden biridir. Tan� konulamamas� ya da geç konulmas� geri dönüşü olmayan ciddi sorunlara yol açabilir.

Anahtar Kelimeler: Dermal sinü, s trakt, intraspinal abse, komplikasyon

Corresponding Author: O�uz Baran, T�rkiye
Manuscript Language: English

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