Occipital Dermal Sinus tract causing Craniospinal Infection: Case report and review of literature

Occipital Dermal Sinus tract causing Craniospinal Infection: Case report and review of literature

4^th International Conference on Spine and Spinal Disorders
September 03-04, 2019 | London, UK

Tariq Al-Saadi, Ahmed Al Habsi and Zahra Al Hajri

Montreal Neurological Institute and Hospital - McGill University, Canada Khoula Hospital, Oman

Scientific Tracks Abstracts : J Neurol Neurorehabil Res

Abstract:

Background: Congenital dermal sinus tract (DST) is a rare entity of cranial or spinal dysraphism that may occur anywhere 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: Occipital DST is a rare condition. Its clinical presentation 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.

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.

E-mail: t.dhiyab@hotmail.com

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