A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence
Spinal dysraphisms (SDs) are characterized by a heterogeneous range of congenital spinal anomalies that arise from derivative disturbances in neural tube development. Closed spinal dysraphism, a variant, is less common and typically has a subtle clinical presentation. Timely and correct diagnosis i...
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Elsevier
2025-06-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325001852 |
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| author | Shubhi Gaur, MBBS Pratap Singh Parihar, MD, PhD Gaurav Vedprakash Mishra, MD, PhD Prasad Sanjay Desale, MBBS |
| author_facet | Shubhi Gaur, MBBS Pratap Singh Parihar, MD, PhD Gaurav Vedprakash Mishra, MD, PhD Prasad Sanjay Desale, MBBS |
| author_sort | Shubhi Gaur, MBBS |
| collection | DOAJ |
| description | Spinal dysraphisms (SDs) are characterized by a heterogeneous range of congenital spinal anomalies that arise from derivative disturbances in neural tube development. Closed spinal dysraphism, a variant, is less common and typically has a subtle clinical presentation. Timely and correct diagnosis is essential to avert chronic complications. We describe a 12-year-old boy who presented with progressively worsening bladder and bowel incontinence since early childhood. On clinical examination, he was found to have swelling of the sacral region, gross motor impairment, and a slim physique. MRI showed hydro/syringomyelia, tethered cord, lipomeningocele, spina bifida in the sacral region, chronic cystitis and dural ectasia. These test results were consistent with the diagnosis of closed spinal dysraphism. This case highlights the need to consider urinary incontinence and sacral anomalies as manifestations of closed spinal dysraphism. Neuroimaging plays a key role in diagnosis, and especially MRI is the gold standard in detecting detailed structural abnormalities. To improve patient outcomes and quality of life, this paper emphasizes the intricacy of closed spinal dysraphism and the necessity of multidisciplinary management and early intervention. |
| format | Article |
| id | doaj-art-beb1396d731a4dff86c1c7fd17ea986d |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-beb1396d731a4dff86c1c7fd17ea986d2025-08-20T02:16:55ZengElsevierRadiology Case Reports1930-04332025-06-012062850285410.1016/j.radcr.2025.02.082A silent malformation: Closed spinal dysraphism in a boy with urinary incontinenceShubhi Gaur, MBBS0Pratap Singh Parihar, MD, PhD1Gaurav Vedprakash Mishra, MD, PhD2Prasad Sanjay Desale, MBBS3Corresponding author.; Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India 44200Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India 44200Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India 44200Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India 44200Spinal dysraphisms (SDs) are characterized by a heterogeneous range of congenital spinal anomalies that arise from derivative disturbances in neural tube development. Closed spinal dysraphism, a variant, is less common and typically has a subtle clinical presentation. Timely and correct diagnosis is essential to avert chronic complications. We describe a 12-year-old boy who presented with progressively worsening bladder and bowel incontinence since early childhood. On clinical examination, he was found to have swelling of the sacral region, gross motor impairment, and a slim physique. MRI showed hydro/syringomyelia, tethered cord, lipomeningocele, spina bifida in the sacral region, chronic cystitis and dural ectasia. These test results were consistent with the diagnosis of closed spinal dysraphism. This case highlights the need to consider urinary incontinence and sacral anomalies as manifestations of closed spinal dysraphism. Neuroimaging plays a key role in diagnosis, and especially MRI is the gold standard in detecting detailed structural abnormalities. To improve patient outcomes and quality of life, this paper emphasizes the intricacy of closed spinal dysraphism and the necessity of multidisciplinary management and early intervention.http://www.sciencedirect.com/science/article/pii/S1930043325001852Chiari malformationMeningoceleSpinal dysraphismUrinary incontinenceSpine MRI |
| spellingShingle | Shubhi Gaur, MBBS Pratap Singh Parihar, MD, PhD Gaurav Vedprakash Mishra, MD, PhD Prasad Sanjay Desale, MBBS A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence Radiology Case Reports Chiari malformation Meningocele Spinal dysraphism Urinary incontinence Spine MRI |
| title | A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence |
| title_full | A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence |
| title_fullStr | A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence |
| title_full_unstemmed | A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence |
| title_short | A silent malformation: Closed spinal dysraphism in a boy with urinary incontinence |
| title_sort | silent malformation closed spinal dysraphism in a boy with urinary incontinence |
| topic | Chiari malformation Meningocele Spinal dysraphism Urinary incontinence Spine MRI |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325001852 |
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