{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:50:51Z","timestamp":1792601451571,"version":"4.5.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord Ser Cases"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background and importance<\/jats:title>\n                <jats:p>Congenital dermal sinus tract (DST) is a rare spinal dysraphism characterized by a persistent tract lined by epithelial cells, beginning at the epidermis and terminating in deeper tissue layers. With 1% of all congenital DST cases found in the cervical region, only 4% of all cases are diagnosed after the age of 20.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical presentation<\/jats:title>\n                <jats:p>In this case, a 65-year-old woman with a congenital DST at the cervical level presented with symptoms of neck and some arm pain, suboccipital headaches, and unique external characteristics. Neck Disability Index and visual analog scale were used to assess the patient\u2019s preoperative and postoperative pain, and quality of life. Patient underwent an operative intervention, where the DST was surgically removed followed by interlaminar decompression at C1\u2013C2, excision of the epidural component, and biopsy followed by plastic surgical repair. Pathology analysis indicated a squamous epithelial-lined sinus tract interacting with the dura. Most notably, a meningothelial proliferation with associated psammomatous calcifications was identified, similar to a meningioma.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>A review of literature was conducted to further discuss clinical and radiological presentation as well as to document the novel appearance of this congenital DST. As one of the oldest cases of DST, it demonstrated unusual pathological characteristics with a meningothelial proliferation, compatible with meningioma, reported at the epidural level.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41394-023-00575-5","type":"journal-article","created":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T08:02:06Z","timestamp":1690963326000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior cervical congenital dermal sinus tract: case report and review of literature"],"prefix":"10.1038","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3139-4989","authenticated-orcid":false,"given":"Amir","family":"Vokshoor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harseerat","family":"Jajj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Grunwald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Kolker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Petros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,2]]},"reference":[{"key":"575_CR1","doi-asserted-by":"publisher","first-page":"15021","DOI":"10.1038\/scsandc.2015.21","volume":"1","author":"Y Karatas","year":"2015","unstructured":"Karatas Y, Ustun ME. Congenital cervical dermal sinus tract caused tethered cord syndrome in an adult: a case report. Spinal Cord Ser Cases. 2015;1:15021.","journal-title":"Spinal Cord Ser Cases"},{"key":"575_CR2","doi-asserted-by":"publisher","first-page":"100683","DOI":"10.1016\/j.inat.2020.100683","volume":"21","author":"M Petrov","year":"2020","unstructured":"Petrov M, Gerganov V, Gabrovsky N, Kamenova M. Congenital dermal sinus tract localized in the cervical region in an adult patient\u2013clinical case. Review of the literature. Interdiscip Neurosurg. 2020;21:100683.","journal-title":"Interdiscip Neurosurg"},{"key":"575_CR3","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1007\/s100720100074.","volume":"22","author":"M Manfredi","year":"2001","unstructured":"Manfredi M, Donati E, Magni E, Salih S, Orlandini A, Beltramello A. Spinal dysraphism in an elderly patient. Neurol Sci. 2001;22:405\u20137. https:\/\/doi.org\/10.1007\/s100720100074.","journal-title":"Neurol Sci"},{"key":"575_CR4","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1159\/000064399","volume":"37","author":"LL Ackerman","year":"2002","unstructured":"Ackerman LL, Menezes AH, Follett KA. Cervical and thoracic dermal sinus tracts. A case series and review of the literature. Pediatr Neurosurg. 2002;37:137\u201347.","journal-title":"Pediatr Neurosurg"},{"key":"575_CR5","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1542\/peds.112.3.641","volume":"112","author":"LL Ackerman","year":"2003","unstructured":"Ackerman LL, Menezes AH. Spinal congenital dermal sinuses: a 30-year experience. Pediatrics. 2003;112:641\u20137.","journal-title":"Pediatrics"},{"key":"575_CR6","first-page":"567","volume":"82","author":"Y Nishimura","year":"2020","unstructured":"Nishimura Y, Hara M, Natsume A, Wakabayashi T, Ginsberg HJ. Complete resection and untethering of the cervical and thoracic spinal dermal sinus tracts in adult patients. Nagoya J Med Sci. 2020;82:567.","journal-title":"Nagoya J Med Sci"},{"key":"575_CR7","doi-asserted-by":"publisher","first-page":"30","DOI":"10.4103\/1817-1745.131478.","volume":"9","author":"SS Mishra","year":"2014","unstructured":"Mishra SS, Panigrahi S. Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci. 2014;9:30\u20132. https:\/\/doi.org\/10.4103\/1817-1745.131478.","journal-title":"J Pediatr Neurosci"},{"key":"575_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2001.10.1.5","volume":"10","author":"S Elton","year":"2001","unstructured":"Elton S, Oakes WJ. Dermal sinus tracts of the spine. Neurosurg Focus. 2001;10:1\u20134.","journal-title":"Neurosurg Focus"},{"key":"575_CR9","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/0883073813520501","volume":"29","author":"M Mete","year":"2014","unstructured":"Mete M, Umur AS, Duransoy YK, Barut\u00e7uo\u011flu M, Umur N, Gurgen SG, et al. Congenital dermal sinus tract of the spine: experience of 16 patients. J Child Neurol. 2014;29:1277\u201382.","journal-title":"J Child Neurol"},{"key":"575_CR10","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1023\/A:1005981110128","volume":"38","author":"R Qasho","year":"1998","unstructured":"Qasho R, Lunardi P, Lo Bianco FM, di Stefano M. Rare combination of spinal lesions and subcutaneous meningioma in a 44 year old man. J Neurooncol. 1998;38:77\u201382.","journal-title":"J Neurooncol"}],"container-title":["Spinal Cord Series and Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41394-023-00575-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-023-00575-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-023-00575-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T08:02:11Z","timestamp":1690963331000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41394-023-00575-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,2]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["575"],"URL":"https:\/\/doi.org\/10.1038\/s41394-023-00575-5","relation":{},"ISSN":["2058-6124"],"issn-type":[{"value":"2058-6124","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,2]]},"assertion":[{"value":"21 December 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 August 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The patient was consented prior to surgery via a consent to medical or surgical care and treatment form that notes that their records may be used for educational research. The patient was ensured anonymity and is aware that they can withdraw consent at any time before online publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"40"}}