Fatal Meningitis in a 14-Month-Old with Currarino Triad

Figure 4

Spine MRI on day 5 to further characterize the presacral mass. (a) Sagittal T2 weighted MR image of the lower spine shows complex presacral mass with a small separate hyperintense cyst communicating with the thecal sac, which could be meningocele (thin arrow). Spinal canal shows epidural fluid collection (arrow) with multiple air foci (arrowheads). There is low-lying conus and a tethered cord, reported in 70% of Currarino syndrome cases (curved arrow). (b) Sagittal T1 weighted MR image of the spine shows the communication of the larger presacral mass with the anal canal (arrow). The contents of the mass have similar intensity to the contents of the dilated sigmoid colon (asterix).

(a)

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