Neurology India Medknow Publications on behalf of the Neurological Society of India ISSN: 0028-3886 EISSN: 1998-4022 Vol. 52, Num. 2, 2004, pp. 288-288

Neurology India, Vol. 52, No. 2, April-June, 2004, pp. 288

Neuroimage

Scimitar sacrum

Alappat Jacob P

Department of Neurosurgery, Medical College Hospital, Calicut - 673008

Correspondence Address:Department of Neurosurgery, Medical College Hospital, Calicut - 673008
cmcalumni@eth.net

Code Number: ni04103

A 48-year-old male patient with diabetes mellitus and retinitis pigmentosa was admitted with complaints of weakness of both lower limbs and urinary incontinence of 1-year duration. Fundoscopy was suggestive of retinitis pigmentosa. On admission, the power in the legs was about Grade 2. Plain X-ray showed a sickle-shaped defect of the sacrum - scimitar sacrum [Figure - 1]. MRI showed an anterior presacral meningocele with scalloping and dehiscence of the anterior wall of the lower half of the left side of the sacrum [Figure - 2]. Repair of anterior sacral meningiocele was done by a posterior approach. The patient showed improvement following surgery and at one-year follow-up, he has regained his bladder control and is ambulant with 4/5 power in the lower limbs.

Copyright 2004 - Neurology India

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