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      Anterior sacral meningocele presenting as constipation

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Anterior sacral meningocele (ASM) is a rare form of spinal dysraphism in children. Usually asymptomatic, it can present as constipation, urinary problems or rarely neurological symptoms. High index of suspicion with careful clinical examination is necessary to make early diagnosis. Magnetic resonance imaging is the investigation of choice. We describe a successfully managed young child with ASM associated with rib and vertebral defects.

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          Updated assessment and current classification of spinal meningeal cysts.

          V Rizzoli, A Kobrine, Ian Davis … (1988)
          The classification of spinal meningeal cysts (MC's) in the literature is indistinct, confusing, and in certain categories histologically misleading. Based on a series of 22 cases, the authors propose a classification comprising three categories: spinal extradural MC's without spinal nerve root fibers (Type I); spinal extradural MC's with spinal nerve root fibers (Type II); and spinal intradural MC's (Type III). Although water-soluble myelography may disclose a filling defect for all three categories, computerized tomographic myelography (CTM) is essential to reveal communication between the cyst and the subarachnoid space. Communication demonstrated by CTM allows accurate diagnosis of a spinal MC and rules out other mass lesions. Magnetic resonance imaging appears useful as an initial study to identify an intraspinal cystic mass. Final characterization is based on operative inspection and histological examination for all three categories.
          Article 0 comments Cited 92 times – based on 0 reviews     Review now
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            Anterior sacral meningocele: review of the literature.

            Samuel Pascual-Pascual, A. Sanchez-Hernandez, F Villarejo … (1982)
            Article 0 comments Cited 12 times – based on 0 reviews     Review now
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              Anterior sacral defects: an autosomal dominantly inherited condition.

              V. Yates, R. Wilroy, Gene L. Whitington … (1983)
              Anterior sacral meningoceles and presacral teratomas are rare congenital malformations associated with a sacrococcygeal bony defect. The inheritance of anterior sacral meningoceles has been proposed to be X-linked dominant, whereas presacral teratomas have been reported to be autosomal dominantly inherited. Anterior meningoceles and teratomas may occur independently or in combination. We report a family in whom at least 11 individuals of three generations have partial sacral agenesis and have had either anterior sacral meningoceles, teratomas, or both. Male-to-male transmission has been documented. Although the existing literature differentiates the inheritance of anterior meningoceles from that of the teratomas, the pleiotropic effects of the gene causing these anterior sacral defects in this family is evident and is consistent with autosomal-dominant inheritance.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Pediatr Neurosci
                Journal ID (publisher-id): JPN
                Title: Journal of Pediatric Neurosciences
                Publisher: Medknow Publications (India )
                ISSN (Print): 1817-1745
                ISSN (Electronic): 1998-3948
                Publication date (Print): Jan-Jun 2011
                Volume: 6
                Issue: 1
                Pages: 40-43
                Affiliations
                [1]Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya and Maulana Azad Medical College, Geeta Colony, Delhi, India
                Author notes
                Address for Correspondence: Dr. Anup Mohta, 28-B, Pocket-C, S. F. S. Flats, Mayur Vihar Phase-III, Delhi–110 096, India. E-mail: mohtaanup@ 123456gmail.com
                Article
                Publisher ID: JPN-6-40
                DOI: 10.4103/1817-1745.84406
                PMC ID: 3173914
                PubMed ID: 21977087
                SO-VID: 10f3026d-93c4-454d-8cbf-eb45a0c0ac5a
                Copyright © © Journal of Pediatric Neurosciences
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Neurosciences
                Keywords: rib defects,child,anterior sacral meningocele,constipation
                Data availability:
                ScienceOpen disciplines: Neurosciences
                Keywords: rib defects, child, anterior sacral meningocele, constipation

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