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Images in paediatrics
Complete thoracic myelocystocele: a rare benign spinal dysraphism with clinical significance
  1. Rebecca Brooks Carmody1,
  2. John Jane Jr2,
  3. Mark E Shaffrey2,
  4. David Kaufman1
  1. 1Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA
  2. 2Department of Neurosurgery, University of Virginia, Charlottesville, Virginia, USA
  1. Correspondence to Dr Rebecca Brooks Carmody, Department of Neonatology, University of Virginia, 1215 LEE Street, Charlottesville, VA 22908, USA; medhoo07{at}

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Complete thoracic myelocystocele (figure 1) is a rare non-terminal closed spinal dysraphism associated with normal neurological outcomes following repair.1 2 The cystic lesion was noted at 19 weeks of gestation on routine transabdominal ultrasound (figure 2), but misdiagnosed as myelomeningocele. The distinction is critical since the latter is associated with lower extremity paralysis and sensory impairment, bowel and bladder dysfunction and brain abnormalities.2 3

Figure 1

Image of the complete thoracic myelocystocele shortly after birth: the lesion is an entirely skin-covered, cystic, pedunculated mass …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.