Therapy 5 (Minimal Spinal Dysraphism)

turu_29a_n.jpg and turu_29b_n.jpg: Newborn with a cystic structure over the sacrum which is partially covered by a fine layer of skin. Following puncture of the cerebrospinal fluid containing cystic structure during surgery, two cords became visible which entered the spinal channel by a hole in the fascia. Because the cele which is containing cerebrospinal fluid has a fine connection to the spinal subarachnoid space, the diagnosis is a meningocele, although the local findings resemble a myelomeningocele. Nevertheless, a neurological deficit is missing. The case illustrates the diversity of anatomical types of the dysraphic anomalies recognizable by the naked eye, whose therapy was not discussed specifically.