Child's Nervous System

, Volume 34, Issue 5, pp 987–990 | Cite as

Double dermal sinus tracts of the cervical and thoracic regions: a case in a 3-year-old child and review of the literature

  • Oliver D. Mrowczynski
  • Jessica R. Lane
  • Mohammadali M. Shoja
  • Charles S. Specht
  • Sara T. Langan
  • Elias B. Rizk
Case Report



Dermal sinus tracts are rare congenital abnormalities characterized by an epithelium-lined tract that extends from the subcutaneous tissue to the underlying thecal sac or neural tube. These developmental anomalies can present asymptomatically with a cutaneous dimple or with devastating complications including recurrent episodes of meningitis, or neurological complications including paralysis. Dermal sinus tracts generally occur as single lesions, and the presentation of midline double dermal sinus tracts of the cervical and thoracic regions has not been previously described.


Here, we present the case of a 3-year-old girl suffering from recurrent episodes of myelitis, paraparesis, and intramedullary intradural masses, who was diagnosed with double dermal sinus tracts of the cervical and thoracic regions. We also present a summary of all previous reported cases of multiple dermal sinus tracts.


Our patient was successfully treated surgically and is now 2 years status post her last procedure with a significant improvement in her neurologic function and normal muscle strength and tone for her age, and there was no recurrence of her symptoms.


Early treatment with prophylactic surgery should be performed when possible, but removal of these lesions once symptoms have arisen can also lead to success, as in the case presented here. Complete excision and intradural exploration is required to excise the complete tract.


Dermal sinus tract Dermoid Spinal dysraphism Cyst 


Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Ackerman LL, Menezes AH, Follett KA (2002) Cervical and thoracic dermal sinus tracts. A case series and review of the literature. Pediatr Neurosurg 37(3):137–147. CrossRefPubMedGoogle Scholar
  2. 2.
    Mete M, Umur AS, Duransoy YK, Barutçuoğlu M, Umur N, Gurgen SG, Selçuki M (2014) Congenital dermal sinus tract of the spine. J Child Neurol 29(10):1277–1282. CrossRefPubMedGoogle Scholar
  3. 3.
    Singh I, Rohilla S, Kumar P, Sharma S (2015) Spinal dorsal dermal sinus tract: an experience of 21 cases. Surg Neurol Int 6(18):429. CrossRefGoogle Scholar
  4. 4.
    Papaevangelou G, Tsitsopoulos PP, Flaris N, Iliadis C, Tsonidis C (2015) Dermal sinus tract of the thoracic spine presenting with intramedullary abscess and cranial nerve deficits. Pediatr Neurosurg 50(6):339–343. CrossRefPubMedGoogle Scholar
  5. 5.
    Mishra SS, Panigrahi S (2014) Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci 9(1):30–32. CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    El Khashab M, Nejat F, Ertiaei A (2008) Double dermal sinuses: a case study. J Med Case Rep 2(1):281. CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Wang Y-M, Chuang M-J, Cheng M-H (2011) Infected spinal dermal sinus tract with meningitis: a case report. Acta Neurol Taiwanica 20:188–191Google Scholar
  8. 8.
    Karatas Y, Ustun M (2015) Congenital cervical dermal sinus tract caused tethered cord syndrome in an adult: a case report. Spinal Cord Ser Cases 2:15021. CrossRefGoogle Scholar
  9. 9.
    Tisdall MM, Hayward RD, Thompson DNP (2015) Congenital spinal dermal tract: how accurate is clinical and radiological evaluation? J Neurosurg Pediatr 15(6):651–656. CrossRefPubMedGoogle Scholar
  10. 10.
    Nejat F, Dias MS, Eftekhar B, Roodsari NN, Hamidi S (2003) Bilateral retro-auricular dermal sinus tracts with intradural extension. J Neurosurg 99(1):163–166. CrossRefPubMedGoogle Scholar
  11. 11.
    Ansari S, Andrabi Y, El Khashab M, Bateni F, Dadmehr M, Iskandar BJ, Nejat F (2009) Triple lumbar dermal sinuses: unusual presentation of a typically solitary midline lesion. Pediatr Neurosurg 45(4):305–307. CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2017

Authors and Affiliations

  • Oliver D. Mrowczynski
    • 1
    • 2
  • Jessica R. Lane
    • 1
  • Mohammadali M. Shoja
    • 3
  • Charles S. Specht
    • 1
  • Sara T. Langan
    • 1
  • Elias B. Rizk
    • 1
  1. 1.Department of NeurosurgeryPennsylvania State University College of MedicineHersheyUSA
  2. 2.Penn State Hershey Medical CenterHersheyUSA
  3. 3.Department of SurgeryUniversity of Texas Medical BranchGalvestonUSA

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