Türk Nöroşirürji Dergisi 1999 , Vol 9 , Num 2
CERVICAL MYELOMENINGOCELE
Pamir ERDİNÇLER1, Ali KAFADAR1, Valkan ETUŞ1, Nurperi GAZİOĞLU2, Saffet TÜZGEN1, Nejat ÇIPLAK2, Emin ÖZYURT2, Cengiz KUDAY1
1İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul
2İstanbul Üniversitesi, Nörolojik Bilimler Enstitüsü, İstanbul
Occurrence of spina bifida cystica in cervical region is rare. Five cases of cervical myelomeningocele are reported in this paper. The cases had no motor deficits. Magnetic resonance images showed posteriorly tethered cervical spinal cord in all. Three patients had associated Chiari malformation and hydrocephalus and one patient had associated lomber Type I split cord malformation. Surgical treatment consisted of resection of the sac and un tethering of the cervical spinal cord with intradural exploration. The embryogenesis, clinical and radiological features, surgical treatment of these lesions are discussed with the relevant literature. Anahtar Kelimeler : Cervical, myelomeningocele, spinal dysraphism, tethered spinal cord