case_images: PMC4244798_01
case_images: Clinical photograph of the child showing the dorsal myelocystocele
case_images: JNRP-6-87-g001.jpg
case_images: PMC4244798_01_JNRP-6-87-g001.jpg
case_images: F1
case_images: On examination a 6 x 5 cm swelling was located at the mid-dorsal region [Figure 1].
case_images: T1W MRI image showing the myelocystocele sac at D7-D10 level
case_images: JNRP-6-87-g002.jpg
case_images: PMC4244798_01_JNRP-6-87-g002.jpg
case_images: F2
case_images: 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.
case_images: 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
case_images: JNRP-6-87-g003.jpg
case_images: PMC4244798_01_JNRP-6-87-g003.jpg
case_images: F3
case_images: NCCT dorsal spine identified a posterior bony spur at D11 [Figure 3].
case_images: Operative photograph showing the nicely dissected myelocystocele sac and the bony spur
case_images: JNRP-6-87-g004.jpg
case_images: PMC4244798_01_JNRP-6-87-g004.jpg
case_images: F4
case_images: Nerve roots were seen passing anteriorly from the myelocystocele [Figure 4].
case_images: Operative photograph of the bony spur
case_images: JNRP-6-87-g005.jpg
case_images: PMC4244798_01_JNRP-6-87-g005.jpg
case_images: F5
case_images: D11 bony spur was excised completely [Figure 5].