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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Dermal sinus tract (DST)
Definitions
- Midline/paramedian stratified squamous epithelial-lined sinus tract extending inward from skin surface for variable distance
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lee JY et al: Congenital dermal sinus and limited dorsal myeloschisis: "spectrum disorders" of incomplete dysjuction between cutaneous and neural ectoderms. Neurosurgery. 84(2):428-34, 2019
- Prasad GL et al: Spinal intramedullary abscess secondary to dermal sinus in children. Eur J Pediatr Surg. 29(3):229-38, 2019
- Lee SM et al: Limited dorsal myeloschisis and congenital dermal sinus: comparison of clinical and MR imaging features. AJNR Am J Neuroradiol. 38(1):176-82, 2017
- Vankipuram S et al: Spinal cord abscess secondary to infected dorsal dermal sinus in an infant: uncommon presentation of a known entity. BMJ Case Rep. 2017, 2017
- Singh I et al: Spinal dorsal dermal sinus tract: an experience of 21 cases. Surg Neurol Int. 6(Suppl 17):S429-34, 2015
- Mishra SS et al: Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci. 9(1):30-2, 2014
- Sahoo RK et al: Congenital dermal sinus in mid-dorsal spine with large intramedullary dermoid cyst in an 18-months-old child. J Pediatr Neurosci. 8(3):201-3, 2013
- Fallah A et al: Congenital dermal sinus and cyst in adulthood. Can J Neurol Sci. 36(1):114-6, 2009
- Lee CS et al: Spinal congenital dermal sinus with dual ostia. J Neurosurg Pediatr. 3(5):407-11, 2009
- Ranjan R et al: Cervical intradural extramedullary ependymal cyst associated with congenital dermal sinus: a case report. Childs Nerv Syst. 25(9):1121-4, 2009
- Singh DK et al: The human tail: rare lesion with occult spinal dysraphism--a case report. J Pediatr Surg. 43(9):e41-3, 2008
- Guggisberg D et al: Skin markers of occult spinal dysraphism in children: a review of 54 cases. Arch Dermatol. 2004 Sep;140(9):1109-15. Review. Erratum in: Arch Dermatol. 141(4):425, 2005
- Tubbs RS et al: Isolated flat capillary midline lumbosacral hemangiomas as indicators of occult spinal dysraphism. J Neurosurg. 100(2):86-9, 2004
- Pacheco-Jacome E et al: Occult spinal dysraphism: evidence-based diagnosis and treatment. Neuroimaging Clin N Am. 13(2):327-34, xii, 2003
- Ackerman LL et al: Cervical and thoracic dermal sinus tracts. A case series and review of the literature. Pediatr Neurosurg. 37(3):137-47, 2002
- Aydin K et al: Thoracocervical dorsal dermal sinus associated with multiple vertebral body anomalies. Neuroradiology. 43(12):1084-6, 2001
- Lee JK et al: Cervical dermal sinus associated with dermoid cyst. Childs Nerv Syst. 17(8):491-3, 2001
- Shen WC et al: Dermal sinus with dermoid cyst in the upper cervical spine: case note. Neuroradiology. 42(1):51-3, 2000
- Unsinn KM et al: US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics. 20(4):923-38, 2000
- Chen CY et al: Dermoid cyst with dermal sinus tract complicated with spinal subdural abscess. Pediatr Neurol. 20(2):157-60, 1999
- Gibson PJ et al: Lumbosacral skin markers and identification of occult spinal dysraphism in neonates. Acta Paediatr. 84(2):208-9, 1995
- Kanev PM et al: Dermoids and dermal sinus tracts of the spine. Neurosurg Clin N Am. 6(2):359-66, 1995
- Avrahami E et al: Spina bifida occulta of S1 is not an innocent finding. Spine. 19(1):12-5, 1994
- Herman TE et al: Intergluteal dorsal dermal sinuses. The role of neonatal spinal sonography. Clin Pediatr (Phila). 32(10):627-8, 1993
- Barkovich AJ et al: MR evaluation of spinal dermal sinus tracts in children. AJNR Am J Neuroradiol. 12(1):123-9, 1991
- Haworth JC et al: Congenital dermal sinuses in children; their relation to pilonidal sinuses. Lancet. 269(6879):10-4, 1955
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Dermal sinus tract (DST)
Definitions
- Midline/paramedian stratified squamous epithelial-lined sinus tract extending inward from skin surface for variable distance
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lee JY et al: Congenital dermal sinus and limited dorsal myeloschisis: "spectrum disorders" of incomplete dysjuction between cutaneous and neural ectoderms. Neurosurgery. 84(2):428-34, 2019
- Prasad GL et al: Spinal intramedullary abscess secondary to dermal sinus in children. Eur J Pediatr Surg. 29(3):229-38, 2019
- Lee SM et al: Limited dorsal myeloschisis and congenital dermal sinus: comparison of clinical and MR imaging features. AJNR Am J Neuroradiol. 38(1):176-82, 2017
- Vankipuram S et al: Spinal cord abscess secondary to infected dorsal dermal sinus in an infant: uncommon presentation of a known entity. BMJ Case Rep. 2017, 2017
- Singh I et al: Spinal dorsal dermal sinus tract: an experience of 21 cases. Surg Neurol Int. 6(Suppl 17):S429-34, 2015
- Mishra SS et al: Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci. 9(1):30-2, 2014
- Sahoo RK et al: Congenital dermal sinus in mid-dorsal spine with large intramedullary dermoid cyst in an 18-months-old child. J Pediatr Neurosci. 8(3):201-3, 2013
- Fallah A et al: Congenital dermal sinus and cyst in adulthood. Can J Neurol Sci. 36(1):114-6, 2009
- Lee CS et al: Spinal congenital dermal sinus with dual ostia. J Neurosurg Pediatr. 3(5):407-11, 2009
- Ranjan R et al: Cervical intradural extramedullary ependymal cyst associated with congenital dermal sinus: a case report. Childs Nerv Syst. 25(9):1121-4, 2009
- Singh DK et al: The human tail: rare lesion with occult spinal dysraphism--a case report. J Pediatr Surg. 43(9):e41-3, 2008
- Guggisberg D et al: Skin markers of occult spinal dysraphism in children: a review of 54 cases. Arch Dermatol. 2004 Sep;140(9):1109-15. Review. Erratum in: Arch Dermatol. 141(4):425, 2005
- Tubbs RS et al: Isolated flat capillary midline lumbosacral hemangiomas as indicators of occult spinal dysraphism. J Neurosurg. 100(2):86-9, 2004
- Pacheco-Jacome E et al: Occult spinal dysraphism: evidence-based diagnosis and treatment. Neuroimaging Clin N Am. 13(2):327-34, xii, 2003
- Ackerman LL et al: Cervical and thoracic dermal sinus tracts. A case series and review of the literature. Pediatr Neurosurg. 37(3):137-47, 2002
- Aydin K et al: Thoracocervical dorsal dermal sinus associated with multiple vertebral body anomalies. Neuroradiology. 43(12):1084-6, 2001
- Lee JK et al: Cervical dermal sinus associated with dermoid cyst. Childs Nerv Syst. 17(8):491-3, 2001
- Shen WC et al: Dermal sinus with dermoid cyst in the upper cervical spine: case note. Neuroradiology. 42(1):51-3, 2000
- Unsinn KM et al: US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics. 20(4):923-38, 2000
- Chen CY et al: Dermoid cyst with dermal sinus tract complicated with spinal subdural abscess. Pediatr Neurol. 20(2):157-60, 1999
- Gibson PJ et al: Lumbosacral skin markers and identification of occult spinal dysraphism in neonates. Acta Paediatr. 84(2):208-9, 1995
- Kanev PM et al: Dermoids and dermal sinus tracts of the spine. Neurosurg Clin N Am. 6(2):359-66, 1995
- Avrahami E et al: Spina bifida occulta of S1 is not an innocent finding. Spine. 19(1):12-5, 1994
- Herman TE et al: Intergluteal dorsal dermal sinuses. The role of neonatal spinal sonography. Clin Pediatr (Phila). 32(10):627-8, 1993
- Barkovich AJ et al: MR evaluation of spinal dermal sinus tracts in children. AJNR Am J Neuroradiol. 12(1):123-9, 1991
- Haworth JC et al: Congenital dermal sinuses in children; their relation to pilonidal sinuses. Lancet. 269(6879):10-4, 1955
