Cervical Meningomyelocele - Single Center Experience
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 fe...
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| Format: | Article |
| Language: | English |
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Van Yuzuncu Yil University, School of Medicine
2023-01-01
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| Series: | Van Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-42223 |
| _version_ | 1827608540406087680 |
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| author | Mehmet Edip Akyol Ozkan Arabaci |
| author_facet | Mehmet Edip Akyol Ozkan Arabaci |
| author_sort | Mehmet Edip Akyol |
| collection | DOAJ |
| description | 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. 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% (4). All patients underwent surgical resection of the sac and intradural exploration. DISCUSSION AND 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. |
| first_indexed | 2024-03-09T07:14:32Z |
| format | Article |
| id | doaj.art-a117f92b7f214b2885d8ede303bd3b7b |
| institution | Directory Open Access Journal |
| issn | 2587-0351 |
| language | English |
| last_indexed | 2024-03-09T07:14:32Z |
| publishDate | 2023-01-01 |
| publisher | Van Yuzuncu Yil University, School of Medicine |
| record_format | Article |
| series | Van Tıp Dergisi |
| spelling | doaj.art-a117f92b7f214b2885d8ede303bd3b7b2023-12-03T08:49:48ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512023-01-01301727710.5505/vtd.2023.42223VTD-42223Cervical Meningomyelocele - Single Center ExperienceMehmet Edip Akyol0Ozkan Arabaci1Department of Neurosurgery, Van Yüzüncü Yıl University Faculty of Medicine, Van, TurkeyDepartment of Neurosurgery, Van Yüzüncü Yıl University Faculty of Medicine, Van, TurkeyINTRODUCTION: 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. 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% (4). All patients underwent surgical resection of the sac and intradural exploration. DISCUSSION AND 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.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-42223cervical meningomyelocelemyelomeningocelechiari malformationhydrocephalussyringomyelia |
| spellingShingle | Mehmet Edip Akyol Ozkan Arabaci Cervical Meningomyelocele - Single Center Experience Van Tıp Dergisi cervical meningomyelocele myelomeningocele chiari malformation hydrocephalus syringomyelia |
| title | Cervical Meningomyelocele - Single Center Experience |
| title_full | Cervical Meningomyelocele - Single Center Experience |
| title_fullStr | Cervical Meningomyelocele - Single Center Experience |
| title_full_unstemmed | Cervical Meningomyelocele - Single Center Experience |
| title_short | Cervical Meningomyelocele - Single Center Experience |
| title_sort | cervical meningomyelocele single center experience |
| topic | cervical meningomyelocele myelomeningocele chiari malformation hydrocephalus syringomyelia |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-42223 |
| work_keys_str_mv | AT mehmetedipakyol cervicalmeningomyelocelesinglecenterexperience AT ozkanarabaci cervicalmeningomyelocelesinglecenterexperience |