Cervical Meningomyelocele - Single Center Experience
Yıl: 2023 Cilt: 30 Sayı: 1 Sayfa Aralığı: 72 - 77 Metin Dili: İngilizce DOI: 10.5505/vtd.2023.42223 İndeks Tarihi: 04-05-2023
Cervical Meningomyelocele - Single Center Experience
Öz: Introduction: Cervical meningomyelocele (MMC) is rarely seen compared to lumbosacral and thoracolumbar meningomyelocele. There are only a few series related to cervical MMC in the literature. This study presents one of the most extensive series of cervical meningomyelocele, reviewing its clinical features, surgical management, and management strategies. Materials and Methods: A total of 520 spina bifida patients, 25 of whom were diagnosed with cervical meningomyelocele, from January 2010 to September 2022, were included in the study. Results: 88% (22) of the patients included in the study were newborns. The mean age was 3 days. Of the patients, 52% (13) were female and 48% (12) were male. The most common sites of cervical meningomyelocele were C4-C5, C5-C6, and C7-T1 regions with similar rates of 24%. There was a cranial anomaly in 56% (14) of the patients. The most common cranial anomalies were Chiari II with 24% (6), hydrocephalus, and Chiari type II with hydrocephalus and syringomyelia with 16%. All patients underwent surgical resection of the sac and intradural exploration. Conclusion: Cervical meningomyelocele is structurally and clinically different from thoracolumbar and lumbosacral meningomyelocele and has more favorable outcomes after surgery. Preoperative magnetic resonance imaging and detailed patient evaluation are recommended to identify the cervical meningomyelocele's sac and spinal cord structure and additional anomalies. Surgical treatment should be done early and intradural exploration is recommended in addition to resection of the sac.
Anahtar Kelime: Servikal Meningomyelosel - Tek Merkez Deneyimi
Öz: Amaç: Servikal meningomyelosel (MMS), lumbosakral ve torakalomber meningomyelosellere göre nadir görülür. Literatürde, servikal MMS ile ilgili sadece birkaç seri bulunmaktadır. Bu çalışma, en geniş servikal meningomyelosel serilerinden birini sunarak klinik özelliklerini, cerrahi tedavisini ve yönetim stratejilerini gözden geçirmektedir. Materyal ve Yöntem: Çalışmaya Ocak 2010'dan Eylül 2022'ye kadar 25’ine servikal meningomyelosel tanısı konulan toplam 520 spina bifida hastası dahil edildi. Bulgular: Çalışmaya alınan hastaların %88’i (22) yenidoğandı. Yaş ortalamaları 3 gündü. Hastaların %52’si (13) kadın, %48’i (12) erkekti. Servikal meningomyeloselin en sık görüldüğü bölgeler %24’lük benzer oranlarla C4-C5, C5-C6 ve C7-T1 bölgeleriydi. Hastaların %56’sında (14) kranial anomali mevcuttu. En sık görünen kranial anomaliler %24 (6) ile Chiari tip II, hidrosefali ve %16 (4) ile Chiari tip II, hidrosefali, sringomiyeli idi. Tüm hastalara kesenin cerrahi rezeksiyonu ve intradural eksplorasyon uygulandı. Sonuç: Servikal meningomyelosel, torakolomber ve lumbosakral meningomyeloselerden yapısal ve klinik olarak farklılık gösterir ve cerrahi sonrası daha olumlu sonuçları vardır. Servikal meningomyeloselin kese ve spinal kord yapısı ile ek anomalileri tanımlamak için cerrahi öncesi manyetik rezonas görüntüleme yapılması ve hastanın detaylı değerlendirilmesi önerilir. Cerrahi tedavi erken yapılmalı ve kesenin rezeksiyonuna ek olarak intradural eksplorasyonu yapılması önerilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Sun JC, Steinbok P, Cochrane DD. Cervical myelocystoceles and meningoceles: longterm follow-up. Pediatr Neurosurg 2000 33(3):118-22.
- 2. Huang SL, Shi W, Zhang LG. Characteristics and surgery of cervical myelomeningocele. Childs Nerv Syst 2010 26(1):87-91.
- 3. Salomão JF, Cavalheiro S, Matushita H, Leibinger RD, Bellas AR, Vanazzi E, de Souza LA, Nardi AG. Cystic spinal dysraphism of the cervical and upper thoracic region. Childs Nerv Syst 2006 22(3):234-42.
- 4. Erşahin Y, Barçin E, Mutluer S. Is meningocele really an isolated lesion? Childs Nerv Syst 2001 17(8):487-90.
- 5. Meyer-Heim AD, Klein A, Boltshauser E. Cervical myelomeningocele--follow-up of five patients. Eur J Paediatr Neurol 2003 7(6):407-12.
- 6. Kasliwal MK, Dwarakanath S, Mahapatra AK. Cervical meningomyelocele—an institutional experience. Childs Nerv Syst 2007 23(11):1291-3.
- 7. Steinbok P, Cochrane DD. The nature of congenital posterior cervical or cervicothoracic midline cutaneous mass lesions. Report of eight cases. J Neurosurg 1991 75(2):206-12.
- 8. Feltes CH, Fountas KN, Dimopoulos VG, Escurra AI, Boev A, Kapsalaki EZ, Robinson JS Jr, Troup EC. Cervical meningocele in association with spinal abnormalities. Childs Nerv Syst 2004 20(5):357-61.
- 9. Habibi Z, Nejat F, Tajik P, Kazmi SS, Kajbafzadeh AM. Cervical myelomeningocele. Neurosurgery. 2006 58(6):1168-75; discussion 1168-75.
- 10. Pang D, Dias MS. Cervical myelomeningoceles. Neurosurgery. 1993 33(3):363-72; discussion 372-3.
- 11. Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations. Neurosurgery. 1992 31(3):451-80.
- 12. Duprez TP, Laterre EC. Unusual form of closed dysraphism of the cervical spine. Acta Neurol Belg 1995 95(1):42-3.
- 13. Konya D, Dagcinar A, Akakin A, Gercek A, Ozgen S, Pamir MN. Cervical meningocele causing symptoms in adulthood: case report and review of the literature. J Spinal Disord Tech 2006 19(7):531-3.
- 14. Steinbok P. Dysraphic lesions of the cervical spinal cord. Neurosurg Clin N Am 1995 6(2):367-76.
- 15. Andronikou S, Wieselthaler N, Fieggen AG. Cervical spina bifida cystica: MRI differentiation of the subtypes in children. Childs Nerv Syst 2006 22(4):379-84.
- 16. Tortori-Donati P, Rossi A, Biancheri R, Cama A. Magnetic resonance imaging of spinal dysraphism. Top Magn Reson Imaging 2001 12(6):375-409.
- 17. Khalatbari H, Perez FA, Lee A, Shaw DWW. Rapid Magnetic Resonance Imaging of the Spine in Neonates with Spinal Dysraphism. World Neurosurg 2020 144:e648-e659.
- 18. Delashaw JB, Park TS, Cail WM, Vollmer DG. Cervical meningocele and associated spinal anomalies. Childs Nerv Syst 1987 3(3):165-9.
- 19. Valeur NS, Iyer RS, Ishak GE. Cervicothoracic cystic dysraphism. Pediatr Radiol 2016 46(10):1471-81.
| APA | AKYOL M, ARABACI O (2023). Cervical Meningomyelocele - Single Center Experience. , 72 - 77. 10.5505/vtd.2023.42223 |
| Chicago | AKYOL MEHMET EDIP,ARABACI OZKAN Cervical Meningomyelocele - Single Center Experience. (2023): 72 - 77. 10.5505/vtd.2023.42223 |
| MLA | AKYOL MEHMET EDIP,ARABACI OZKAN Cervical Meningomyelocele - Single Center Experience. , 2023, ss.72 - 77. 10.5505/vtd.2023.42223 |
| AMA | AKYOL M,ARABACI O Cervical Meningomyelocele - Single Center Experience. . 2023; 72 - 77. 10.5505/vtd.2023.42223 |
| Vancouver | AKYOL M,ARABACI O Cervical Meningomyelocele - Single Center Experience. . 2023; 72 - 77. 10.5505/vtd.2023.42223 |
| IEEE | AKYOL M,ARABACI O "Cervical Meningomyelocele - Single Center Experience." , ss.72 - 77, 2023. 10.5505/vtd.2023.42223 |
| ISNAD | AKYOL, MEHMET EDIP - ARABACI, OZKAN. "Cervical Meningomyelocele - Single Center Experience". (2023), 72-77. https://doi.org/10.5505/vtd.2023.42223 |
| APA | AKYOL M, ARABACI O (2023). Cervical Meningomyelocele - Single Center Experience. Van Tıp Dergisi, 30(1), 72 - 77. 10.5505/vtd.2023.42223 |
| Chicago | AKYOL MEHMET EDIP,ARABACI OZKAN Cervical Meningomyelocele - Single Center Experience. Van Tıp Dergisi 30, no.1 (2023): 72 - 77. 10.5505/vtd.2023.42223 |
| MLA | AKYOL MEHMET EDIP,ARABACI OZKAN Cervical Meningomyelocele - Single Center Experience. Van Tıp Dergisi, vol.30, no.1, 2023, ss.72 - 77. 10.5505/vtd.2023.42223 |
| AMA | AKYOL M,ARABACI O Cervical Meningomyelocele - Single Center Experience. Van Tıp Dergisi. 2023; 30(1): 72 - 77. 10.5505/vtd.2023.42223 |
| Vancouver | AKYOL M,ARABACI O Cervical Meningomyelocele - Single Center Experience. Van Tıp Dergisi. 2023; 30(1): 72 - 77. 10.5505/vtd.2023.42223 |
| IEEE | AKYOL M,ARABACI O "Cervical Meningomyelocele - Single Center Experience." Van Tıp Dergisi, 30, ss.72 - 77, 2023. 10.5505/vtd.2023.42223 |
| ISNAD | AKYOL, MEHMET EDIP - ARABACI, OZKAN. "Cervical Meningomyelocele - Single Center Experience". Van Tıp Dergisi 30/1 (2023), 72-77. https://doi.org/10.5505/vtd.2023.42223 |
