PMC4244798_01
Clinical photograph of the child showing the dorsal myelocystocele
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F1
On examination a 6 x 5 cm swelling was located at the mid-dorsal region [Figure 1].
T1W MRI image showing the myelocystocele sac at D7-D10 level
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F2
A cystic swelling in the dorsal region crossed by fibro-neurovascular stalk suggestive of dorsal myelocystocele with an associated spina bifida at D7-D8 level [Figure 2], syrinx was noted at D6 level, low lying tethered cord with thick filum, cones at L3 level, split cord was noted at D11 level along with sacral agenesis.
T2W MRI image showing hyperintense myelocystocele sac extending from D7-D10 level, with complete spur at D11 level, also noted is the syrinx at D6 level, low-lying tethered cord at L3 level
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F3
NCCT dorsal spine identified a posterior bony spur at D11 [Figure 3].
Operative photograph showing the nicely dissected myelocystocele sac and the bony spur
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F4
Nerve roots were seen passing anteriorly from the myelocystocele [Figure 4].
Operative photograph of the bony spur
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F5
D11 bony spur was excised completely [Figure 5].