Anterior sacral meningocele with spinal epidural abscess: A case report with review of literature

Article type: Research Article

Authors: Patnaik, Sibabratta | Mohapatra, Manoranjan | Satpathy, Dina K. | Das, Swarnalata | Mohanty, Aswini K.

Affiliations: Department of Pediatric Intensive Care, Christian Medical College, Vellore, Tamilnadu, India | Department of Radiology, Kalinga Institute of Medical Sciences, Bhubaneswar, India | Department of Neurosurgery, Kalinga Hospital Limited, Bhubaneswar, India | Department of Pediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, India

Note: [] Correspondence: Dr. Sibabratta Patnaik, Department of Pediatric Intensive Care, Christian Medical College,Vellore, Tamilnadu, India. Tel.: +91 9437322267; E-mail: [email protected]

Abstract: An 8-month-old boy presented with high fever with seizures and weakness of legs. Cerebrospinal fluid analysis revealed acute pyogenic meningitis and magnetic resonance imaging revealed anterior sacral meningocele with epidural abscess. He was managed by surgery through posterior approach along with antibiotics. Clinical presentation, differential diagnosis, diagnostic modalities and management of this rare clinical condition is briefly discussed in this article.

Keywords: Anterior sacral meningocele, epidural abscess, pre-sacral space, Currarino triad, staphylococcal meningitis

DOI: 10.3233/JPN-130612

Journal: Journal of Pediatric Neurology, vol. 11, no. 2, pp. 141-145, 2013