Interdisciplinary Neurosurgery (Sep 2020)

Congenital dermal sinus tract localized in the cervical region in an adult patient – Clinical case. Review of the literature

  • M. Petrov,
  • V. Gerganov,
  • N. Gabrovsky,
  • M. Kamenova

Journal volume & issue
Vol. 21
p. 100683

Abstract

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Dermal sinus tract (DST) is a rare congenital disease, characterized by the presence of a pathological fistulous tract, lined by epithelial cells. This tract begins from the surface of the skin and reaches to a various depth in the subcutaneous tissues, sometimes it even reaches the spinal canal. The incidence is 1 case per 2500 live births. Less than 1% of the cases are localized in the cervical region. Only in 4% of the cases the patients are diagnosed after the age of 20. In 2015 Karatas reported the oldest patient with dermal sinus tract in the cervical region – a 34-year-old woman. We would like to report a 58-year-old male patient with congenital DST at C4-C5 level. Congenital DST could be responsible for tethered cord syndrome. Operative exploration of the DST is recommended as a prophylactic measure against infectious complications or tethered cord syndrome.

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