Thoracic meningocele in lumbo-costo-vertebral syndrome in a child: possible enlargement with repeated motion by anchoring to the diaphragm (original) (raw)
Related papers
Lumbo-Costo-Vertebral Syndrome with Congenital Lumbar Hernia: Case Report
Ethiopian Journal of Health Sciences
Background: Lumbo-costo-vertebral syndrome is a set of rare abnormalities involving vertebral bodies, ribs, and abdominal wall.Case: We present a case of Lumbo-costo-vertebral syndrome in a 6-month old female infant who had a progressive swelling over the right lumbar area since birth. Clinical examination revealed a reducible swelling on the right flank with positive cough impulse. Ultrasonography showed a defect containing bowel loops in the right lumbar region. Chest X-ray revealed scoliosis and hemivertebrae with absent lower ribs on the right side. Computer tomography scan showed hernia sac containing the bowel and the right lobe of the liver with cross fused kidney.Conclusion; Lumbo-costo-vertebraly syndrome is a rare condtion which could be associated with different organ malformations. Simple closure or meshplasty could be done depending on the size of the defect.
Journal of Surgical Case Reports, 2021
Congenital lumbar hernia is a rare disease affecting mainly infants. Its association with lumbo-costo-vertebral syndrome (LCVS) is hardly seen in the literature. We present a case of LCVS in a 1-month-old female infant presenting with a soft bulge in left lumbar region. Abdominal X-ray revealed absence of multiple ribs with a mild lumbar scoliosis and defective ninth vertebra. Ultrasonography showed absence lateral abdominal wall muscles in left lumbar region and 2.5 cm diameter lumbar hernia. Primary repair of the adnominal wall defect was performed without meshplasty and no recurrence was reported. We hope to enhance the literature of this rare disease with our case.
Giant true dorsal thoracic meningocele in a school-age child
Journal of Neurosurgery: Pediatrics, 2008
✓A meningocele is a common form of spinal dysraphic lesions, but it is extremely uncommon in children in the upper thoracic region. The authors describe a rare case in which they found a giant true dorsal meningocele in the upper thoracic region in a symptomatic child, which, to their knowledge, is the first such reported case. A school-age child, who harbored a giant dorsal mass, complained of restriction of function. He underwent successful surgery in which the meningocele sac was totally removed.
Cervical meningocele and associated spinal anomalies
Child's Nervous System, 1987
Simple meningoceles are infrequent forms of dysraphism and are often benign. They have been associated with other spinal anomalies. The uncommon cervical meningocele may have a higher propensity to be associated with other spinal anomalies. Four patients with cervical meningocele are presented with radiographic evaluation and clinical course. Multiple abnormalities were documented radiographically and operatively, including hydrocephalus, Chiari malformation, hydromyelia, lipomeningomyelocele, tethered cord, thickened filum terminale, diastematomyelia, Klippel-Feil syndrome, and thoracic hemivertebrae. Prior to the development of any late neurological abnormality from associated spinal anomalies, magnetic resonance imaging is recommended early in a child born with a simple meningocele.
Case reports in pediatrics, 2013
Introduction. Congenital lumbar hernia is one of the rare types of hernias. Anomalies of the ribs, spine, and muscles which constitute the lumbocostovertebral syndrome in association with congenital lumbar hernia make it the rarest of entities. In addition, a multitude of other organ systems may be involved. Case Report. A case of congenital lumbar hernia associated with lumbocostovertebral syndrome is presented in view of its rarity and diagnostic and therapeutic challenges. Discussion. Anatomical background of congenital lumbar hernia associated with various other anomalies especially of the musculoskeletal structures is discussed. All cases of congenital lumbar hernia should be investigated for other congenital anomalies. Both open and laparoscopic approaches have been described for surgical treatment. Conclusion. Open surgical intervention is the mainstay of treatment taking into consideration the technical challenges posed by distorted anatomy due to the associated congenital a...
Intercostal variant of lumbar hernia in lumbocostovertebral syndrome: our experience with 6 cases
Journal of Pediatric Surgery, 2011
Lumbocostovertebral syndrome (LCVS) is a rare type of congenital lumbar hernia. Its features include lumbar hernia associated with genitourinary, vertebral, and rib anomalies. Less than 25 cases have been reported to date. We describe the clinical manifestations and associated anomalies in 6 cases of LCVS managed by us. The patients with suspected LCVS syndrome should be evaluated by detailed clinical history, examination, conventional radiography, magnetic resonance imaging spine, ultrasound abdomen, and echocardiography. The defect can be repaired using local tissues in infancy. There is a need for long-term follow-up for possible late recurrence and scoliosis. Crown
AIM: To investigate the correlation of congenital lumbosacral abnormalities with neurological signs in young patients with low back pain (LBP) MATERIAL and METHODS: The study included 401 patients with LBP that lasted longer than 2 weeks. All cases were screened by standard lumbosacral x-rays for the presence of the most common congenital vertebral abnormalities i.e. spina bifida occulta (SBO) and transitional vertebra (TV). Patients were divided into two groups according to presence of a neurological sign. Patients with a neurological sign were referred for computerized tomography and/or magnetic resonance imaging. RESULTS: Sixty-two patients had a neurological sign. Congenital vertebral abnormalities were detected in 52 patients (12.1%); 34 of these (8.5%) were spina bifida, whereas 18 (4.5%) were transitional vertebra. SBO was most commonly observed at the S1 level (30 patients). No correlation for SBO or TV was determined in patients with and without neurological signs but these groups showed significant difference for disc herniation in CT or MRI (P=0.001). Congenital abnormalities had no correlation with disc herniation in CT or MRI. CONCLUSION: LBP in young adults with TV or SBO showed no correlation with neurological signs. Therefore patients with prolonged LBP that present with neurological signs may be scheduled for CT and/or MRI, but reevaluation of the patient with psychometric tests is recommended if there is no neurological sign. ÖZ AMAÇ: Bel ağrısı olan genç nüfusta kongenital vertebral anomali ile nörolojik bulgular arasındaki ilişkiyi değerlendirmek. YÖNTEM ve GEREÇ: 2 haftadan daha uzun süredir bel ağrısı yakınımı olan 401 hasta çalışmaya alındı. Olguların hepsi standart ön-arka ve lateral lumbosakral grafi ile en sık görülen kongenital vertebral anomalilerinden; Spina bifida okulta ve Transizyonal vertebra açısından değerlendirildi. Hastalar nörolojik bulgusu olup olmamasına göre 2 gruba ayrıldı Nörolojik bulgusu olan hastalar ek olarak bilgisayarlı tomografi ve/veya magnetik rezonans görüntüleme yapıldı. BULGULAR: Nörolojik bulgusu olan hasta sayısı 62, Konjenital anomalisi olan hasta sayısı 52 (%12,1), bu hastaların 34 (%8,5)'ünde spina bifida, 18 (%4,5)'inde transizyonal vertebra saptanmıştır. SBO en çok S1 düzeyinde (30 hastada) izlenmiştir. Nörolojik bulgusu olan ve olmayan gruplar SBO ve TV açısından karşılaştırıldığında korelasyon bulunmaz iken, iki grup arasında disk herniasyonu açısından BT ve MRG'de anlamlı fark bulunmuştur (P=0,001) Konjenital anomali ile BT ve MRG'de disk herniasyonu arasında korelasyon bulunamadı. SONUÇ: Genç erişkinde bel ağrısı; TV ve SBO yönünden ele alındığında nörolojik bulgulara yol açtığı izlenmemiştir. Dolaysıyla uzamış bel ağrılı hastaların değerlendirilmesinde; nörolojik bulgu saptanmış ise ileri BT ve/veya MRG gibi inceleme yöntemleri planlanmalı ancak nörolojik bulgu saptanmamışsa psikometrik testler ile hastaların yeniden değerlendirlmesinin uygun olacağı kanatindeyiz.
Current Concepts - Congenital Scoliosis
The Open Orthopaedics Journal
Background:Congenital scoliosis is one of the ‘difficult to treat’ scenarios which a spine surgeon has to face. Multiple factors including the age of child at presentation, no definite pattern of deformity and associated anomalies hinder the execution of the ideal treatment plan. All patients of congenital scoliosis need to be investigated in detail. X rays and MRI of spine is usually ordered first. Screening investigations to rule out VACTERL (Visceral, Anorectal, Cardiac, Tracheo-esophageal fistula, Renal and Lung) abnormalities are required. They are cardiac echocardiography and ultrasonography of abdomen and pelvis. CT scan is required to understand the complex deformity and is helpful in surgical planning.Methods:A comprehensive medical literature review was done to understand the current surgical and non surgical treatment options available. An attempt was made to specifically study limitations and advantages of each procedure.Results:The treatment of congenital scoliosis diff...
Asia Pacific Chiropractic Journal, 2020
Introduction L umbosacral transitional vertebra (LSTV) is the most common congenital anomaly of the lumbosacral spine, with a reported prevalence between 16% and 36% in the general population. (1) LSTV may manifest either as a sacral assimilation of the L5 vertebra (sacralisation) or lumbar assimilation of the S1 segment (lumbarisation). Most of these anomalies may either go undetected or be discovered fortuitously. (2) However, an isolated and minor LSTV may disrupt normal spine biomechanics and anatomy. A unilateral LSTV will slow growth on that side of the spine and cause the growing spine to curve and rotate. Recent studies have correlated the presence of LSTV with low back pain. Symptoms can originate from the anomalous articulation itself, the contralateral facet joint, instability and early degeneration of the level cephalad to the transitional vertebrae, and nerve root compression from hypertrophy of the transverse process. (3) Clinical symptoms associated with each of the above processes are treated differently. Our case examples demonstrate the potential association between LSTV and adolescent scoliosis, which was previously overlooked. We present the following two cases in accordance with the CARE Guidelines. Abstract: Lumbosacral transitional vertebrae (LSTVs) are the most common congenital anomaly of the lumbosacral spine that presents either as L5 sacralisation or S1 lumbarisation. Although most of the LSTVs are of minor clinical importance, these anomalies may contribute to disruptions in biomechanics and alterations in spinal and paraspinal structures. Here, we present two cases of adolescent idiopathic scoliosis to illustrate some overlooked effects of a unilateral LSTV on spinal deformity. Cure correction was not attained in both cases. While a unilateral LSTV was on a different side of their lumbosacral spine, it is incidentally noticed that the direction of the curve was convex on the contralateral side of the LSTV. Most likely, unilateral LSTVs on certain occasions could cause the growing spine to curve and rotate. The aim of this report is to demonstrate an overlooked association between minor anomalies and the growing spines, which may be important to tailor an appropriate treatment plan.
Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
International Journal of Pediatrics, 2016
Aim. Congenital lumbar hernia is an uncommon anomaly with only few cases reported in the English literature. This study was done to study the incidence, age at presentation, sex, associated anomalies, surgical management, and postoperative morbidity and mortality of congenital lumbar hernia in pediatric patients.Methods. Retrospective analysis of all patients of CLH over a period of 15 years (January 2000 to December 2015) was analyzed.Results. A total of 14 patients were encountered in this series. All presented within first 2 years of age. 12 were males and 2 were females. All of them presented with swelling in lumbar region. 13 were unilateral and 1 was bilateral. Left sided hernia was observed in 2 cases only. Lumbocostovertebral syndrome was found in all the patients in addition to other rare anomalies. All cases were managed with open surgical repair. Wound infection was seen in 2 cases. There was no mortality in our series.Conclusion. CLH is very rare among hernias. Surgery s...