The classification and embryogenesis of cystic cervical dysraphic lesions are discussed in the light of the authors’ experience and review of the literature. It is felt that these lesions are best described as meningoceles or myelocystoceles, and the use of the term ‘myelomeningocele’ may be more confusing than clarifying. The authors hypothesize that the cervical meningocele and the myelocystocele are part of a spectrum of the same underlying developmental abnormality, namely limited dorsal myeloschisis, with the eventual abnormality depending on the presence or absence of associated hydromyelia.

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