Abstract
In the literature, less than ten cases of holocord intramedullary abscess in children have been described. A 15-month-old girl presented with flaccid paraplegia and dermal sinus in the sacral region. MRI highlighted an infected lumbar dermoid cyst. The child underwent surgery to remove the cyst and purulent collection. Five days after surgery, she developed upper limbs paresis. An MRI showed a holocord abscess. A catheter was inserted through a cervical myelotomy into the abscess for drainage with a good postoperative recovery. A rapid management, even for extended or recurrent intramedullary abscess, can prevent potential severe neurological dysfunctions.
Similar content being viewed by others
Abbreviations
- MRI:
-
Magnetic resonance imaging
References
Bunyaratavej K, Desudchit T, Pongpunlert W (2006) Holocord intramedullary abscess due to dermal sinus in a 2-month-old child successfully treated with limited myelotomy and aspiration. Case report. J Neurosurg 104:269–274
Desai KI, Muzumdar DP, Goel A (1999) Holocord intramedullary abscess: an unusual case with review of literature. Spinal Cord 37:866–870
El-gindi S, Fairburn B (1969) Intramedullary spinal abscess as a complication of a congenital dermal sinus. Case report. J Neurosurg 30:494–497
Falavigna A, Righesso A, Teles AR (2009) Concomitant dermoid cyst of conus medullaris and cauda equine. Arq Neuropsiquiatr 67:293–296
Girishan S, Rajshekhar V (2016) Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts; report of 10 cases. J Neurosurg Pediatr 17:86–93
Hart J (1830) A case of encysted abscess in the centre of spinal cord. Dublin Hosp Rep 5:522–524
Kalia V, Vibhuti, Aggarwal T (2007) Holocord intramedullary abscess. Indian J Pediatr 74:589–591
Kim BS, Lee SB, Cho KS (2010) Intramedullary entire spinal cord abscess secondary to a congenital dermal sinus: a case report. Kor J Spine 7:195–198
Mohindra S, Sodhi HS, Aggarwal A (2012) Management problems of intramedullary holocord abscess: an illustration in a pediatric case. Childs Nerv Syst 28:637–640
Ramesh VG, Karthikeyan KV, Kitchanan S, Sriraman B (2013) Holocord abscess in association with congenital dermal sinus. J Pediatr Neurosci 8:198–200
Simon JK, Lazareff JA, Diament MJ, Kennedy WA (2003) Intramedullary abscess of the spinal cord in children; a case report and review of literature. Pediatr Infect Dis J 22:186–192
Tufan K, Cekinmez M, Sener L, Erdogan B (2008) Infected lumbar dermoid cyst presenting with tetraparesis secondary to holocord central lesion. J Child Neurol 23:934–937
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Consent
The parents have consented to submission of this case report to the journal.
Rights and permissions
About this article
Cite this article
Tassigny, D., Fomekong, E., Koerts, G. et al. Intramedullary holocord abscess secondary to infected dermoid cyst. Acta Neurochir 160, 209–212 (2018). https://doi.org/10.1007/s00701-017-3406-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-017-3406-7