case_images: PMC11745552_01
case_images: Clinical photograph showing large (thoracosacral) meningomyelocele with exposed lumbosacral nerve roots.
case_images: CRIS2025-5662565.001.jpg
case_images: PMC11745552_01_CRIS2025-5662565.001.jpg
case_images: fig1
case_images: On examination of the spine, there was a large spinal defect ranging from the thoracic spine to the sacral region measuring 18 x 15 cm, exposing the lumbar and sacral nerve roots and plexus, with no spinous processes (Figure 1), no movement nor plantar reflexes in the lower extremities and had an atonic anal sphincter.
case_images: MRI scan of the brain revealed severe dilatation of the lateral ventricles, with thinning of brain parenchyma (A), the third and fourth ventricles appeared normal with effacement of aqueduct of Sylvius and tectal beaking, absent corpus callosum, small posterior fossa, and obliteration of cisterna magna. Bilateral clefts in the anterior frontal cortex, larger defect on the left measuring 0.7 cm in keeping with open lip schizencephaly (B, C).
case_images: CRIS2025-5662565.002.jpg
case_images: PMC11745552_01_CRIS2025-5662565.002.jpg
case_images: fig2
case_images: Bilateral clefts in the anterior frontal cortex, larger defect on the left measuring 0.7 cm in keeping with open lip schizencephaly (Figure 2).
case_images: MRI spine and abdomen showing open defect in the back with absent posterior elements of the spine from the level of T4 with a short spinal cord seen ending at T6 level (A, B). The kidneys appear fused and seen in the right iliac region in location (C, yellow arrow). Features suggestive of severe hydrocephalus with corpus callosum agenesis and schizencephaly, spina bifida, and renal fusion.
case_images: CRIS2025-5662565.003.jpg
case_images: PMC11745552_01_CRIS2025-5662565.003.jpg
case_images: fig3
case_images: Features were suggestive of severe hydrocephalus with corpus callosum agenesis and schizencephaly, spina bifida, and renal fusion (Figure 3).
case_images: (A) Preoperative photograph, (B) meningomyelocele defect closed with skin grafting, and (C) 3 days postoperative.
case_images: CRIS2025-5662565.004.jpg
case_images: PMC11745552_01_CRIS2025-5662565.004.jpg
case_images: fig4
case_images: This was done together with closure of the defect with partial thickness skin grafting (Figure 4), and ventriculoperitoneal shunting for the hydrocephalus.