{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:13:52Z","timestamp":1793805232923,"version":"4.6.1"},"reference-count":9,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,8]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Between 4% and 8% of cases of spina bifida cystica occur in a cervical or cervicothoracic location. Despite a large body of literature concerning spinal dysraphism, there has been little written specifically about patients afflicted with this disorder in a cervical location. Eight children who presented at birth with posterior cervical or cervicothoracic lumps, all of which represented a dysraphic state, are discussed. Two types of abnormalities were noted. Three patients had hydromyelia with an associated myelocystocele herniating posteriorly into a meningocele sac. In these three patients there was an associated Chiari II malformation and hydrocephalus. The other five children had a meningocele in which a band of tissue extended from the posterior aspect of the spinal cord through a defect in the bone and fascia to the posterior part of the meningocele sac itself. No patient had a lesion that could be described as a meningomyelocele. The investigation and surgical management of these conditions are discussed and the need for intradural exploration to untether the spinal cord in the cervical region is stressed.<\/jats:p>","DOI":"10.3171\/jns.1991.75.2.0206","type":"journal-article","created":{"date-parts":[[2009,5,19]],"date-time":"2009-05-19T16:21:01Z","timestamp":1242750061000},"page":"206-212","source":"Crossref","is-referenced-by-count":69,"title":["The nature of congenital posterior cervical or cervicothoracic midline cutaneous mass lesions"],"prefix":"10.3171","volume":"75","author":[{"given":"Paul","family":"Steinbok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Douglas","family":"Cochrane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"AJNR","first-page":"533","article-title":"MR imaging of spinal dysraphism.","volume":"8","author":"Altman","year":"1987"},{"key":"b2","series-title":"Dev Med Child Neurol","first-page":"129","article-title":"Spina bifida: the significance of the level and extent of the defect to the morphogenesis.","volume":"12","author":"Barson","year":"1970"},{"key":"b3","series-title":"Childs Nerv Syst","first-page":"165","article-title":"Cervical meningocele and associated spinal anomalies.","volume":"3","author":"Delashaw","year":"1987"},{"key":"b4","series-title":"J Neurol Neurosurg Psychiatry","first-page":"331","article-title":"Studies in spina bifida cystica. I. General survey and reassessment of the problem.","volume":"24","author":"Doran","year":"1961"},{"key":"b5","series-title":"J Neurosurg","first-page":"600","article-title":"Tethered cervical spinal cord. Case report.","volume":"67","author":"Eller","year":"1987"},{"key":"b6","series-title":"Mayo Clin Proc","first-page":"33","article-title":"Spina bifida and cranium bifidum. Study of 530 cases.","volume":"27","author":"Fisher","year":"1952"},{"key":"b7","series-title":"Developmental Neuropathology.","first-page":"240","author":"Freide","year":"1975"},{"key":"b8","series-title":"Neurosurgery of infancy and childhood","first-page":"1","author":"Matson","year":"1969"},{"key":"b9","series-title":"J Neurosurg","first-page":"392","article-title":"Myelocystocele with cerebellar heterotopia. Case report.","volume":"51","author":"Suneson","year":"1979"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/75\/2\/article-p206.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/75\/2\/article-p206.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/75\/2\/article-p206.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T22:07:16Z","timestamp":1679263636000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/75\/2\/article-p206.xml"}},"subtitle":["Report of eight cases"],"short-title":[],"issued":{"date-parts":[[1991,8]]},"references-count":9,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1991.75.2.0206","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1991,8]]}}}