PMC3418015_01
Figure 1: A large lumbo-sacral skin covered mass
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F1
The swelling was smooth, cystic, fluctuant and transluminent, present over lumbosacral region measuring 8X6 cm2 in size with obliteration of natal cleft (Fig. 1).
Figure 2: MRI sagittal section showing two cysts. The inner cyst was in continuation (arrow) with the central canal of the spinal cord
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F2
The spinal cord was tethered and low lying (Fig. 2, 3).
Figure 3: MRI in coronal section showing double compartment swelling
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F3
The spinal cord was tethered and low lying (Fig. 2, 3).
Figure 4: Another cyst inside the major cyst- the terminal myelocystocele
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F4
The spinal cord ended slightly cephalad with a fibrous band tethering the cord to the dorsal and cephalic aspects of the inner cyst (Fig. 4).