KMID : 1001920210640020151
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Journal of Korean Neurosurgical Society 2021 Volume.64 No. 2 p.151 ~ p.188
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Focal Spinal Nondisjunction in Primary Neurulation : Limited Dorsal Myeloschisis and Congenital Spinal Dermal Sinus Tract
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Wong Sui-To
Pang Dachling
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Abstract
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Spinal dysraphic lesions due to focal nondisjunction in primary neurulation are commonly encountered in paediatric neurosurgery, but the ¡°fog-of-war¡± on these conditions was only gradually dispersed in the past 10 years by the works of the groups led by the senior author and Prof. Kyu-Chang Wang. It is now clear that limited dorsal myeloschisis and congenital spinal dermal sinus tract are conditions at the two ends of a spectrum; and mixed lesions of them with various configurations exist. This review article summarizes the current understanding of these conditions¡¯ embryogenetic mechanisms, pathological anatomy and clinical manifestations, and their management strategy and surgical techniques.
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KEYWORD
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Limited dorsal myeloschisis, Spinal dermal sinus tract, Dermoid, Nondisjunction, Dysraphism, Focal spinal nondisjunctional disorders
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