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Journal of Neurology and Neurorehabilitation Research | Volume 4
September 03-04, 2019 | London, UK
Spine and Spinal Disorders
4th International Conference on
J Neurol Neurorehabil Res, Volume 4
Occipital Dermal Sinus tract causing Craniospinal Infection: Case report and review of
literature
Tariq Al-Saadi1, Ahmed Al Habsi2 and Zahra Al Hajri2
1 Montreal Neurological Institute and Hospital - McGill University, Canada
2 Khoula Hospital, Oman
Background: Congenital dermal sinus tract (DST) is a rare
entityofcranialorspinaldysraphismthatmayoccuranywhere
from nasion and along the midline neuraxis from occipital to
sacral regions. Craniospinal infection caused by occipital DST
is even rarer. Because of their scarcity, these lesions are not
well documented in the literature, often mixed with dermal
sinuses in other location or other dysmorphic features. This
paper reports a unique case of an infant presented with
craniospinal abscesses resulting from occipital dermal sinus
tract.
Methods and materials: In this paper, we report a case of a
16-month-old girl presented with high grade fever, vomiting
and lethargy. She had a discharging occipital skin lesion. Her
diagnosis was Occipital DST with Cerebellospinal Abscess,
which was treated successfully by excision of the DST and
cerebellar abscess. Histopathological examination revealed a
dermoid cyst. She received 8 weeks of parenteral antibiotic
treatment with a good outcome.
Results: OccipitalDSTisararecondition.Itsclinicalpresentation
varies and clinical suspicion is required. Early neurosurgical
intervention is important to prevent the risk of potential
complications such as abscess and bacterial meningitis.
Conclusion: This case highlights the importance of early
recognition and evaluation of midline craniospinal cutaneous
stigmata in infant. Further neurosurgical assessment with
radiological investigations are recommended for early
detection and management. Once diagnosed is made,
surgical intervention and appropriate antibiotic therapy are
the mainstay of treatment.
Speaker Biography
Tariq Al-Saadi is a Neurosurgical resident at McGill University-Montreal
Neurological Institute in Canada. Graduated first rank with distinction from
Sultan Qaboos University in Oman in 2016. After completing his internship,
he joined the Department of Neurosurgery at Khoula Hospital, which is
the National Trauma Center in Oman. Throughout his undergraduate and
post graduate years, he has been an active member of various surgical
societies with high passion for research and medical education. Has been
invited as a speaker to several national and international meetings and
has published in various peer reviewed journals. He is an editorial board
member of the Gulf Research Collaboration Group (GRCG), which is
established to conduct multi-centric high-quality research in the Gulf area.
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