CERVICAL MENINGOCELE IN A NEWBORN: A CASE REPORT

Abstract

Aims: Neural tube defects are among the most common congenital anomalies worldwide, with a wide range of subtypes. The aim of this case report is to present a patient with cervical meningocele, a rare type of neural tube defect. Case Report: A 33-year-old pregnant woman with a story of bearing an anencephalic baby was referred to Trakya University Hospital with a probable cystic hygroma diagnosis on the 31st week of pregnancy. An antenatal ultrasound revealed a protrusion on the posterior cervical regi- on. Two days before the planned delivery, fetal magnetic resonance imaging was performed by the decision of the council. The 61 x 37 millimeters cyst was planned to be removed upon birth. On the 38th week, the baby was delivered by cesarean section with no other complications. After a preoperative magnetic resonance imaging, surgical procedure including the excision of the cyst and the duroplasty was performed. Conclusion: A rare and devastating congenital anomaly, cervical meningocele, requires accurate diagnosis and prompt surgical involvement for effective treatment and good prognosis.

Keywords

• Meningocele
• cervical meningocele
• neurosurgery
• neural tube defects

References

1. 1. Greene ND, Copp AJ. Neural tube defects. Annu Rev Neurosci 2014;37:221-42.
2. 2. Lemire RJ. Neural tube defects. JAMA. 1988 Jan 22-29;259(4):558- 62.
3. 3. Hynd GW, Morgan AE, Vaughn M. Neurodevelopmental malfor- mations: etiology and clinical manifestations. In: Reynolds CR, Flet- cher-Janzen E, editors. Handbook of clinical child neuropsychology. 3rd ed. New-York: Springer; 2009.p.147-68.
4. 4. Nussbaum RL, McInnes RR, Willard HF. Risk assessment and ge- netic counseling. In: thompson & thompson genetics in medicine. 8th ed. Philadelphia: Elsevier; 2016.p.333-48.
5. 5. Gupta N, Ross ME. Disorders of neural tube development. In: Swa- iman KF, Ashwal S, Ferriero DM et al. Swaimans pediatric neurology: principles and practice. Edinburgh: Elsevier; 2018.p.437-58.
6. 6. Sun JCL, Steinbok P, Cochrane DD. Cervical myelocystoceles and meningoceles: long-term follow-up. Pediatric Neurosurgery 2000;33(3):118–22.
7. 7. Huang SB, Dohery D, Congenital malformations of the central nervous system. In: Gleason CA, Juul SE, editors. Averys diseases of the newborn. Philadelphia, PA: Elsevier; 2018.p.877
8. 8. Denaro L, Padoan A, Manara R et al. Cervical myelomeningocele in adulthood. Neurosurgery 2008;62(5)1169-71.

9. 9. Delashaw JB, Park TS, Cail WM et al. (1987). Cervical menin- gocele and associated spinal anomalies. Child's Nervous System 1987;3(3):165–9.
10. 10. Salih MA, Murshid WR, Seidahmed MZ. Epidemiology, prena- tal management, and prevention of neural tube defects. Saudi Med J. 2014 Dec;35 Suppl 1(Suppl 1):S15-28.
11. 11. Sahni M, Ohri A. Meningomyelocele. In: StatPearls. Treasure Is- land (FL): StatPearls Publishing; 2020. Available from: URL: https:// www.ncbi.nlm.nih.gov/books/NBK536959/.
12. 12. Erşahin Y, Barçin E, Mutluer S. Is meningocele really an isolated lesion. Child's Nerv Syst 2001;17(8):487–90.
13. 13. Levene MI, Chervenak FA. Surgical management of neural tube defects. In: Fetal and neonatal neurology and neurosurgery. 4th ed. Churchill Livingstone; 2008.p.851
14. 14. Öncel MY, Özdemir R, Kahilogulları G et al. The effect of surgery time on prognosis in newborns with meningomyelocele. J Korean Neurosurg Soc 2012;51(6):359-62.
15. 15. Konya D, Dagcinar A, Akakin A et al. Cervical meningocele ca- using symptoms in adulthood. Journal of Spinal Disorders & Tech- niques. 2006;19(7):531–3.