Accepted Manuscript Title: A rare cause of gluteal swelling: Lateral sacral meningomyelocele Author: Dilek Şen Dokumacı, Alparslan Yetişgin, Erol Bozdoğan PII: DOI: Reference:
S1529-9430(16)00387-9 http://dx.doi.org/doi: 10.1016/j.spinee.2016.02.034 SPINEE 56922
To appear in:
The Spine Journal
Please cite this article as: Dilek Şen Dokumacı, Alparslan Yetişgin, Erol Bozdoğan, A rare cause of gluteal swelling: Lateral sacral meningomyelocele, The Spine Journal (2016), http://dx.doi.org/doi: 10.1016/j.spinee.2016.02.034. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
A rare cause of gluteal swelling: Lateral sacral meningomyelocele
2
Dilek Şen Dokumacı1, Alparslan Yetişgin 2, Erol Bozdoğan 1
3
1
Harran University School of Medicine, Department of Radiology, Sanliurfa, Turkey
4
2
Harran University School of Medicine, Department of Physical Medicine and Rehabilitation,
5
Sanliurfa, Turkey
6 7
Corresponding author
8
Dr. Dilek Şen Dokumacı
9
Harran University School of Medicine, Department of Radiology
10
63100, Sanliurfa, TURKEY
11
Tel: +90-414-3162419
12
E-mail: [email protected]
Fax: +90-414-315 11 81
13 14
The authors declared no conflicts of interest
15 16
Abstract
17
A full-term, 2-month-old boy was presented with spinal deformity and right gluteal swelling.
18
Spinal MRI with coronal plane revealed a left-sided scoliosis with a cystic lesion in the right
19
gluteal region (Fig. 1). The cystic lesion in the right upper gluteal region was origination from
20
this enlarged neural foramen revealing a lateral meningomyelocele (Fig. 2)
21 22
Keywords:
23
Lateral meningomyelocele, scoliosis, tethered cord
24 25 26 1
Page 1 of 2
1
Case Report:
2
A full-term, 2-month-old boy was presented with spinal deformity and right gluteal swelling.
3
On physical examination, there was a soft and fluctuant swelling on the right upper gluteal
4
region. There was no obvious neurologic deficit. Spinal magnetic resonance imaging (MRI)
5
and MR myelography examinations were performed. Spinal MRI with coronal plane revealed
6
a left-sided scoliosis with several hemivertebra and butterfly vertebra anomalies in upper and
7
mid-thoracic vertebrae and a cystic lesion in the right gluteal region (Fig. 1). Axial MRI
8
images showed a smooth-contoured, thin-walled cystic lesion containing neural elements. At
9
the level of S1-2, the spinal canal was expanded including a tethered spinal cord. The right
10
neural foramen was enlarged at this level. The cystic lesion in the right upper gluteal region
11
was integrated with cerebrospinal fluid through this enlarged neural foramen revealing a
12
lateral meningomyelocele (Fig. 2a, b). MR Myelography examination showed a clear
13
continuity of the meningomyelocele with thecal sac (Fig. 3).
14 15
Figure Legends:
16
Fig. 1. Magnetic resonance imaging: Coronal plane T2 weighted image reveals a left-sided
17
scoliosis with several hemivertebra and butterfly vertebra anomalies in upper and mid-
18
thoracic vertebrae and a thin-walled cystic lesion.
19
Fig. 2. Magnetic resonance imaging: Axial plane T2 weighted images show the cystic lesion
20
integrated with cerebrospinal fluid through enlarged right neural foramen at the level of S1-2
21
revealing a lateral meningomyelocele (a). Note neural elements (asterisk) and tethered cord
22
(arrow) located in meningomyelocele and spinal canal (b).
23
Fig. 3. Magnetic resonance myelography: Continuity of the meningomyelocele with thecal
24
sac can be clearly seen on MR Myelography.
2
Page 2 of 2
S1529-9430(16)00387-9 http://dx.doi.org/doi: 10.1016/j.spinee.2016.02.034 SPINEE 56922
To appear in:
The Spine Journal
Please cite this article as: Dilek Şen Dokumacı, Alparslan Yetişgin, Erol Bozdoğan, A rare cause of gluteal swelling: Lateral sacral meningomyelocele, The Spine Journal (2016), http://dx.doi.org/doi: 10.1016/j.spinee.2016.02.034. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
A rare cause of gluteal swelling: Lateral sacral meningomyelocele
2
Dilek Şen Dokumacı1, Alparslan Yetişgin 2, Erol Bozdoğan 1
3
1
Harran University School of Medicine, Department of Radiology, Sanliurfa, Turkey
4
2
Harran University School of Medicine, Department of Physical Medicine and Rehabilitation,
5
Sanliurfa, Turkey
6 7
Corresponding author
8
Dr. Dilek Şen Dokumacı
9
Harran University School of Medicine, Department of Radiology
10
63100, Sanliurfa, TURKEY
11
Tel: +90-414-3162419
12
E-mail: [email protected]
Fax: +90-414-315 11 81
13 14
The authors declared no conflicts of interest
15 16
Abstract
17
A full-term, 2-month-old boy was presented with spinal deformity and right gluteal swelling.
18
Spinal MRI with coronal plane revealed a left-sided scoliosis with a cystic lesion in the right
19
gluteal region (Fig. 1). The cystic lesion in the right upper gluteal region was origination from
20
this enlarged neural foramen revealing a lateral meningomyelocele (Fig. 2)
21 22
Keywords:
23
Lateral meningomyelocele, scoliosis, tethered cord
24 25 26 1
Page 1 of 2
1
Case Report:
2
A full-term, 2-month-old boy was presented with spinal deformity and right gluteal swelling.
3
On physical examination, there was a soft and fluctuant swelling on the right upper gluteal
4
region. There was no obvious neurologic deficit. Spinal magnetic resonance imaging (MRI)
5
and MR myelography examinations were performed. Spinal MRI with coronal plane revealed
6
a left-sided scoliosis with several hemivertebra and butterfly vertebra anomalies in upper and
7
mid-thoracic vertebrae and a cystic lesion in the right gluteal region (Fig. 1). Axial MRI
8
images showed a smooth-contoured, thin-walled cystic lesion containing neural elements. At
9
the level of S1-2, the spinal canal was expanded including a tethered spinal cord. The right
10
neural foramen was enlarged at this level. The cystic lesion in the right upper gluteal region
11
was integrated with cerebrospinal fluid through this enlarged neural foramen revealing a
12
lateral meningomyelocele (Fig. 2a, b). MR Myelography examination showed a clear
13
continuity of the meningomyelocele with thecal sac (Fig. 3).
14 15
Figure Legends:
16
Fig. 1. Magnetic resonance imaging: Coronal plane T2 weighted image reveals a left-sided
17
scoliosis with several hemivertebra and butterfly vertebra anomalies in upper and mid-
18
thoracic vertebrae and a thin-walled cystic lesion.
19
Fig. 2. Magnetic resonance imaging: Axial plane T2 weighted images show the cystic lesion
20
integrated with cerebrospinal fluid through enlarged right neural foramen at the level of S1-2
21
revealing a lateral meningomyelocele (a). Note neural elements (asterisk) and tethered cord
22
(arrow) located in meningomyelocele and spinal canal (b).
23
Fig. 3. Magnetic resonance myelography: Continuity of the meningomyelocele with thecal
24
sac can be clearly seen on MR Myelography.
2
Page 2 of 2
