Evidence map›Paper›PMID 31297584›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020

Retained medullary cord with sacral subcutaneous meningocele and congenital dermal sinus.

Takato Morioka, Nobuya Murakami, Akiko Kanata, Haruhisa Tsukamoto, Satoshi O Suzuki

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. A rare case of retained medullary cord with sacral subcutaneous meningocele and thoracic arachnoid cyst.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Secondary Neurulation Defects: Retained Medullary Cord.Advances and technical standards in neurosurgery · 2023
    Article
  8. Article
  9. Article
  10. Spinal Dysraphisms: A New Anatomical-Clinicoradiological Classification.The Indian journal of radiology & imaging · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Secondary Neurulation Defects-1 : Retained Medullary Cord.Journal of Korean Neurosurgical Society · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Takato MoriokaDepartment of Neurosurgery, Fukuoka Children's Hospital, 5-1-1 Kashii-teriha, Higashi-ku, Fukuoka, 813-0017, Japan. takato@ns.med.kyushu-u.ac.jp.ORCID 0000-0003-2114-2756
Nobuya MurakamiDepartment of Neurosurgery, Fukuoka Children's Hospital, 5-1-1 Kashii-teriha, Higashi-ku, Fukuoka, 813-0017, Japan.
Akiko KanataDepartment of Neurosurgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.
Haruhisa TsukamotoDepartment of Neurosurgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.
Satoshi O SuzukiDepartment of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Fukuoka Children's Hospital and Medical Center for Infectious Diseases · JPKitakyushu Municipal Medical Center · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA retained medullary cord (RMC) is a rare closed spinal dysraphism with a robust elongated cord-like structure extending continuously from the conus medullaris to the dural cul-de-sac that is caused by late arrest of secondary neurulation. Five patients with RMC extending to an associated sacral subcutaneous meningocele have been reported. CASE PRESENTATION: We report an additional patient with RMC, in whom a congenital dermal sinus (CDS) was found in the caudal portion of the RMC. At the age of 3 days, the patient underwent surgery consisting of meningocele excision and cord untethering, and CDS was noted histologically in the proximal cut end of the RMC. During a second surgery at the age of 5 months, after determining the exact border of the nonfunctional RMC and the true conus by neurophysiological mapping, we removed the entire length of the remnant RMC, including newly developed epidermoid cysts in the CDS.

conclusionAlthough the exact pathoembryogenesis of concurrent RMC and CDS is unknown, an associated subcutaneous meningocele, caused by failure of primary neurulation, could be involved. Surgeons should be aware of the possibility of the coexistence of CDS when dealing with RMCs that extend out to the extradural space.

Indexed as

MeningoceleMeningomyeloceleNeural Tube DefectsSpina Bifida OccultaSpinal DysraphismFemaleHumansInfantMagnetic Resonance ImagingMalePregnancySpinal CordLimited dorsal myeloschisisNeuroglial tissuePrimary neurulationSecondary neurulation

Identifiers

PMID31297584
OpenAlexW2957781595

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.