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  • Title: Dermoid cyst with dermal sinus tract complicated with spinal subdural abscess.
    Author: Chen CY, Lin KL, Wang HS, Lui TN.
    Journal: Pediatr Neurol; 1999 Feb; 20(2):157-60. PubMed ID: 10082349.
    Abstract:
    Spinal subdural abscess caused by spread of infection with the dermal sinus tract is rare in children. This article reports on a 1-year-old male with prolonged fever, progressive paraplegia, and bowel and bladder dysfunction resulting from a spinal subdural abscess secondary to an infected spinal dermoid cyst with a dermal sinus tract. This is the youngest patient to be reported having this condition. Surgical intervention was performed to find a tumor that had capsule and keratinlike contents. Culture of the abscess was positive for Escherichia coli and Bacteroides vulgatus. He received 6 weeks of parenteral antibiotic treatment. This patient illustrates the importance of urgent radiologic examination, immediate surgical resection, and appropriate antibiotic therapy for spinal subdural abscess.
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