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ABS TRACT A 39 year old adult female patient was reported with a rare combination of thoracal dermal sinus tract, diastematomyelia, idiopathic syringomyelia and multipl vertebral anomalies in this patient. Spinal dermal sinus tracts were located most frequently in the lumbar and lumbosacral regions. Thoracal localization of congenital dermal sinus tracts is considerably infrequent. Because of this unusual localization, the lesion was confused with the chronic epidermal cyst which we mostly come across in clinical practice and further radiological examination was not thought. Our case has the property of being a rare case, showing the association of thoracal dermal sinus tract with diastematomyelia, idiopathic syringomyelia and multipl vertebral anomalies without any neurolojic deficit clinically. This case showed us that severe neurological pathologies could be found under a lesion considered as a simple cyst.

A Rare Cutaneous Stigma of Severe Neurological Pathologies: Thoracal Dermal Sinus: Case Report