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Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 286-289

Giant terminal myelocystocele: A case report

Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India

Correspondence Address:
Dr. Deepak K Gupta
Room No. 714, C.N. Centre, Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), New Delhi.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpn.JPN_157_19

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Myelocystoceles, also known as syringoceles, syringomyeloceles, and lipomeningomyelocystoceles, represent 5% of all lumbosacral skin-covered masses. Terminal myelocystocele (TMC) is a rare variant of spinal dysraphism. At times, patients with TMCs can present with a huge lumbosacral mass (giant TMC). A 14-month-old female child presented with progressive increasing swelling in the lumbosacral region (35 cm × 35 cm × 30 cm) since birth with inability to move both lower limbs. Magnetic resonance imaging revealed a dilated terminal central canal herniating through a spina bifida defect (from L4 to S2) into a huge meningocele, suggestive of a giant TMC. The girl was operated on successfully and was doing well at 6 months follow-up, although neurologically unchanged. Giant TMC is a rare entity and only a few case reports are available in literature. Herein we present a case with TMC with the largest dimensions reported till date.


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