Abstract
A 5 year old male child was brought with a history of fever headache and intermittent discharge from a sinus in the mid-dorsal area in the back. He had recurrent episodes 0f similar complaints since birth and the symptoms used to subside with antibiotic treatment each time.nbsp On examination he was febrile. There was no neurological abnormality.nbsp Posterior aspect of mid-dorsal spine D7 showed a dimple in the skin with pigmentation and there was minimal active discharge.nbsp USG showed dermal sinus tract with suspected communication with subarachnoid space. CT scan showed dorsal dermal sinus tract with a bifid 7th thoracic vertebra. The spinal dermal sinus tract was excised and the tract disconnected from dural space and dura was repaired. All patients with spinal dorsal dermal sinus tract should undergo aggressive surgical treatment in the form of total excision of the sinus tract and correction of spinal malformation.
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