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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.53 no.4 São Paulo Dec. 1995

http://dx.doi.org/10.1590/S0004-282X1995000500016 

Recurrent meningitis in a case of congenital anterior sacral meningocele and agenesis of sacral and coccygeal vertebrae

 

Meningite recorrente em um paciente com meningocele sacral anterior e agenesia sacral e coccigea

 

 

Carolina A. R. FunayamaI; Marlene de F. TurcatoI; Renato Moura-RibeiroI; Gutemberg M. RochaI; João M. Pina NetoI; Maria Valeriana L. Moura-RibeiroII

ISão Paulo University, Ribeirão Preto, Brazil
IICampinas University, Brazil

 

 


SUMMARY

A rare case of recurrent meningitis due to congenital anterior sacral meningocele and agenesis of the sacral and coccygeal vertebrae is described. An autosomal dominant inheritance is demonstrated for lower cord malformation, and environmental factors (chromic acid or fumes) are discussed.

Key words: recurrent meningitis, neural tube defects, inherited diseases


RESUMO

Um caso raro de meningite recorrente devido a meningocele sacral anterior e agenesia das vértebras sacras coccígeas é descrito. Herança autossômica dominante para malformação medular caudal é demonstrada e, possíveis fatores ambientais (ligados ao cromo), são discutidos.

Palavras-chave: meningite recorrente, malformação do tubo neural, doenças hereditárias.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERENCES

1.  Bryant T. Case of deficiency of the anterior part of the sacrum with a thecal sac in the pelvis, similar to the tumor of spina bifida. Lancet 1837, 1:358.         [ Links ]

2.  Fineman RM, Jorde LB, Martin RA et al. Spinal dysraphia as an autosomal dominant defect in four families. Am J Med Genet 1982, 12:457-464.         [ Links ]

3.  Gumerlock MK, Spollen LE, Nelson MJ, Bishop RC, Coorperstock MS. Cervical neurenteric fistula causing recurrent meningitis in Klippel-Feil sequence. Pediatr Infect Dis J 1991, 10:532-535.         [ Links ]

4.  Kohler T, Wiedersberg H, Bollmann L. Nasal encephalocele as a cause of recurrent bacterial meningitis. Monatsschr Kinderheilkd 1991, 39:783-785.         [ Links ]

5.  Lisukova TE, Galina MV, Kashin AM. Recurrent meningitis as a complication of anterior sacral meningocele with rectal fistula. Klin Med (Mosk) 1991, Nov 9:92-93.         [ Links ]

6.  Say B, Carpenter NJ, Coldwell JG. Anterior sacral meningocele. JAMA 1977, 237:2602.         [ Links ]

7.  Silbert P, McComish M, Chakeva T, Surveyor I. Intranasal meningoencephalocele causing recurrentmeningitis in a 25-year-old Caucasian man. Med J Aust 1992, 156:141-142        [ Links ]

8.  Yates VD, Wilroy RS, Whitington GL, Simmons JCH. Anterior sacral defects: an autosomal dominantly inherited condition. J Pediatr 1983, 102:239-242.         [ Links ]

 

 

Aceite: 9-agosto-1995.

 

 

Dra. Carolina A.R. Funayama - Departamento de Neurologia, Psiquiatria e Psicologia Médica - Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Unversidade de São Paulo - 14048-900 Ribeirão Preto SP - Brasil. FAX 55.16.633 0866.

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