Multiple dysraphic anomalies with double thoracic meningocele and lumbosacral myelomeningocele, concurrent Chiari malformation Type I, diastematomyelia, lipomyelomeningocele and hydrocephalus: a case report and literature review (original) (raw)

Nepal, by her mother, presenting with two soft cystic swellings on the back since birth. The lesions were progressively getting enlarged. The mother also noticed that her child did not move her left leg and there was only minimal movement on her right leg. The infant would not cry on passing urine or stool and was always dribbling urine. On probing the family and gestation history. It was found that the mother was a 23 year-old housewife from a village in Shindhupalchowk. The infant was delivered at home at 40 weeks gestation with complications. She had not sought any ante/postnatal checkups. There was no past history of any serous medical illnesses and no history of drug abuse or use of medicines and infections during pregnancy. She did not take any vitamins or iron supplements during her gestation. This was her second child of non-consanguineous parents; and the first child had no known congenital anomalies. Physical Examination (Fig 1) Physical examination revealed two soft cystic swellings on the back, smaller one at the lower thoracic level and the larger one on the lumbosacral region. The rostral lesion on the lower