Evidence map›Paper›PMID 33112990›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021

Cystic retained medullary cord in an intraspinal J-shaped cul-de-sac: a lesion in the spectrum of regression failure during secondary neurulation.

Kyung Hyun Kim, Ji Yeoun Lee, Jeyul Yang, Sung-Hye Park, Seung-Ki Kim, Kyu-Chang Wang

Abstract readCase Reports
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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
  2. Secondary Neurulation Defects: Retained Medullary Cord.Advances and technical standards in neurosurgery · 2023
    Article
  3. Article
  4. Retained medullary cord and terminal myelocystocele as a spectrum: case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  5. Article
  6. 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

6 authors at 4 institutions in 2 countries.

Kyung Hyun KimDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Ji Yeoun LeeDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Jeyul YangCenter for Rare Cancers, National Cancer Center, Goyang, Kyounggi-do, Republic of Korea.
Sung-Hye ParkDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Seung-Ki KimDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Kyu-Chang WangCenter for Rare Cancers, National Cancer Center, Goyang, Kyounggi-do, Republic of Korea. kcwang@snu.ac.kr.ORCID http://orcid.org/0000-0001-7440-6650
Seoul National University · KRNational Cancer Center · USNational Cancer Center · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRetained medullary cord (RMC) is thought to be a product of arrested secondary neurulation during the regression phase. A cord-like structure with a caudal non-functional part ends at the cul-de-sac. If the arrest occurs at the cavitation phase of secondary neurulation, the medullary cord has a cystic portion making "RMC of cystic type." CLINICAL PRESENTATION: We report a case of a 4-month-old girl who had a low-lying conus with an extradural-looking dorsal cyst. Preoperative diagnosis was RMC with a lumbosacral extradural cyst such as an arachnoid cyst. At surgery, we found that the extradural cyst was an extension of dural sac with the caudal portion of the cystic RMC inside. The RMC was untethered and the dural sac was reconstructed. The histopathologic examination revealed findings compatible with cystic RMC attached to the cul-de-sac.

conclusionsWe regard this case as an intermediate form between the typical RMC in which is regarded as regression arrest occurred after the terminal balloon collapsed and the medullary cord detached from the skin to the normal cul-de-sac, and the terminal myelocystocele which is considered the result of arrest at the phase of the persisted terminal balloon attached to the skin.

Indexed as

MeningomyeloceleSpinal DysraphismFemaleHumansInfantNeurulationSpinal CordSpineCystic typeRetained medullary cordTerminal myelocystocele

Identifiers

PMID33112990
OpenAlexW3096075484

What OpenQuestion holds

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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.