Advertisement

Dermal Sinus Tracts

  • Zachary G. Wright
  • Curtis J. RozzelleEmail author
Chapter

Abstract

Tethering tracts from the skin that travel toward the spine, dermal sinus tracts, are categorized within the spectrum of occult spinal dysraphism. Infected tracts or those associated with deeper lying dermoids can be difficult to diagnose due to their size. Although most are lumbosacral in location, these can run anywhere along the midline. The physician should suspect and rule out a dermal sinus tract in patients with recurrent meningitis without other clear causes. Treatment of DST with complete surgical excision is the standard of care and is associated with excellent outcomes particularly if undertaken early in the life of the patient.

Keywords

Congenital Spine Midline Dysraphism Occult 

References

  1. 1.
    McComb JG. Congenital dermal sinus. In: Pang D, editor. Disorders of the pediatric spine. New York: Raven; 1995. p. 349–60.Google Scholar
  2. 2.
    Powell KR, Cherry JD, Hougen TJ, et al. A prospective search for congenital dermal abnormalities of the craniospinal axis. J Pediatr. 1975;87:744–50.CrossRefGoogle Scholar
  3. 3.
    French BN. Midline fusion defects and defects of formation. In: Youmans JR, editor. Neurological surgery. Philadelphia: WB Saunders Company; 1990. p. 1081–235.Google Scholar
  4. 4.
    Ackerman LL, Menezes AH. Spinal congenital dermal sinuses: a 30-year experience. Pediatrics. 2003;112(3 Pt 1):641–7.CrossRefGoogle Scholar
  5. 5.
    Kanev PM, Park TS. Dermoids and dermal sinus tracts of the spine. Neurosurg Clin N Am. 1995;6(2):359–66.CrossRefGoogle Scholar
  6. 6.
    Matson DD, Jerva MJ. Recurrent meningitis associated with congenital lumbo-sacral dermal sinus tract. J Neurosurg. 1966;25(3):288–97.CrossRefGoogle Scholar
  7. 7.
    Radmanesh F, Nejat F, El Khashab M. Dermal sinus tract of the spine. Childs Nerv Syst. 2010;26(3):349–57.CrossRefGoogle Scholar
  8. 8.
    Tisdall MM, Hayward RD, Thompson DNP. Congenital spinal dermal tract: how accurate is clinical and radiological evaluation? J Neurosurg Pediatr. 2015;15:651–6.CrossRefGoogle Scholar
  9. 9.
    De Vloo P, Lagae L, Sciot R, Demaerel P, van Loon J, Van Calenbergh F. Spinal dermal sinuses and dermal sinus-like stalks analysis of 14 cases with suggestions for embryologic mechanisms resulting in dermal sinus-like stalks. Eur J Paediatr Neurol. 2013;17(6):575–84.CrossRefGoogle Scholar
  10. 10.
    van Aalst J, Beuls EA, Cornips EM, van Straaten HW, Boselie AF, Rijkers K, Weber JW, Vles JS. The spinal dermal-sinus-like stalk. Childs Nerv Syst. 2009;25(2):191–7.CrossRefGoogle Scholar
  11. 11.
    Martínez-Lage JF, Almagro MJ, Ferri-Ñiguez B, Izura Azanza V, Serrano C, Domenech E. Spinal dermal sinus and pseudo-dermal sinus tracts: two different entities. Childs Nerv Syst. 2011;27(4):609–16.CrossRefGoogle Scholar
  12. 12.
    Eibach S, Moes G, Zovickian J, Pang D. Limited dorsal myeloschisis associated with dermoid elements. Childs Nerv Syst. 2017;33(1):55–67.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Pediatric NeurosurgeryChildren’s of AlabamaBirminghamUSA

Personalised recommendations