AJDRAJNR - American Journal of Neuroradiology

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Case Report
SPINE

Terminal Myelocystocele and Sacrococcygeal Teratoma: A Comparison of Fetal Ultrasound Presentation and Perinatal Risk

J.A. Yua, R. Sohaeyb, A.M. Kennedyd and N.R. Seldenc

a From the School of Medicine Oregon Health & Science University, Portland, Ore
b Departments of Diagnostic Radiology, Oregon Health & Science University, Portland, Ore
c Neurological Surgery, Oregon Health & Science University, Portland, Ore
d Department of Radiology, University of Utah, College of Medicine, Salt Lake City, Utah

Please address correspondence to Nathan R. Selden, MD, PhD, FACS, FAAP, Department of Neurological Surgery, CH 8N, Oregon Health & Science University, 3303 S.W. Bond Ave., Portland, OR 97239; e-mail: seldenn{at}ohsu.edu

SUMMARY: This case exemplifies the difficulty in differentiating cystic sacrococcygeal teratoma and terminal myelocystocele. Fetal sonography presentation and perinatal risks of sacrococcygeal teratoma and terminal myelocystocele are compared, and we emphasize the importance of obtaining fetal MR imaging to establish an accurate diagnosis.