Terminal myelocystocele

Last revised by Craig Hacking on 13 Mar 2018

Terminal myelocystoceles are an uncommon form of spinal dysraphism representing marked dilatation of the central canal of the spinal cord, herniating posteriorly through a dorsal spinal defect. The result is a skin-covered mass in the lower lumbar region, consisting of an ependyma-lined sac. 

Terminal myelocystoceles are more common in females 1.

Typically a skin covered lower lumbar mass is encountered, with or without neurological deficits 1

Although terminal myelocystoceles are found sporadically as isolated abnormalities, they are also encountered with a number of other congenital malformations, including the OEIS complex (omphalocelebladder exstrophyimperforate anus, and sacral agenesis) 1

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