Turkish Neurosurgery 2008 , Vol 18 , Num 3
The Shrinking of an Anterior Sacral Meningocele in Time Following Transdural Ligation of its Neck in a Case of the Currarino Triad
Nejat IŞIK1, Naci BALAK2, Atilla KIRCELLİ3, Gökhan GÖYNÜMER4, İlhan ELMACI5
1,2,3,5 Department of Neurosurgery, Göztepe Education and Research Hospital, Istanbul, TR-34740 Turkey
4 Department of Gynaecology and Obstetrics, Göztepe Education and Research Hospital, Istanbul, TR-34740 Turkey
In this paper we present an adult patient with the Currarino triad, associated with six habitual abortuses and chronic constipation. Our aim is to report the effectiveness of a simple surgical technique in the treatment of anterior sacral meningocele in the Currarino Syndrome. The presentation of the Currarino Syndrome in adulthood is extremely uncommon. We performed a posterior procedure via lumbar and sacral partial laminectomy and transdural ligation of the neck of the meningocele mass. There were no additional neurological deficits and no recurrence of the presacral mass over the 2-year follow up period. When an adult female with habitual abortus and chronic constipation is seen, the possible presence of the Currarino Triad should be investigated and treated. The anterior sacral meningocele in a case of the Currarino Triad regresses over time following transdural ligation of its neck. Keywords : Anorectal stenosis, Anterior sacral meningocele, Currarino triad, Currarino syndrome, Habitual abortus
Corresponding author : Naci Balak, drnacibalak@yahoo.com