Case Report on Myleomeningiocele with Cerebellar Tonsillar

Abstract

Myelomeningocele is a form of neural tube abnormality that causes the spinal cord and meninges to protrude through a hole in the spinal column. It is uncommon for myelomeningocele to be associated with cerebellar tonsillar herniation. This instance demonstrates the difficulties in detecting and controlling this comorbid illness. Myelomeningocele with cerebellar tonsillar herniation is a severe congenital disorder involving the protrusion of the spinal cord and meninges through a defect in the vertebral column, accompanied by downward displacement of the cerebellar tonsils. It is associated with significant neurological and physical impairments, requiring comprehensive medical management and rehabilitation. Early diagnosis, intervention, and on-going multidisciplinary care are crucial for individuals affected by this condition to maximize their potential and improve their overall well-being. We present a case of a female child who was admitted to the NICU for further evaluation and management of myelomeningocele. On examination, the child was active with vitals stable. On local examination, swelling is present at the Lumbosacral region of size 5*4 cm. All investigations and septic screens sent reports within normal limits. MRI was done s/o Spina bifid occulta with LS myelomeningocele with cerebellar tonsillar descent (likely Arnold Chiari Malformation type.