Little is known about the long-term prognosis of patients with cervical myelocystoceles and meningoceles. In this study, we report the long-term follow-up (average 10 years and 8 months) of 8 patients with cervical myelocystoceles and meningoceles. Neurologic, orthopedic, urologic and psychosocial status was assessed on long-term follow-up. The results indicate that in patients with cervical myelocystoceles, neurologic deficits become noticeable in the first year of life as the infant matures. Motor deficit was common in these patients, whereas sensory and urologic deficits did not occur. We believe that this is related to underlying myelodysplasia. In addition, patients with cervical myelocystoceles tend to have significant orthopedic problems. In contrast, patients with cervical meningoceles do not have neurologic deficits, but do develop mild orthopedic problems.

1.
Barson AJ: Spina bifida: The significance of the level and extent of the defect to the morphogenesis. Dev Med Child Neurol 1970;12:129–144.
2.
Doran PA, Guthkelch AN: Studies in spina bifida cystica. 1. General survey and reassessment of the problem. J Neurol Neurosurg Psychiatry 1961;24:331–345.
3.
Fisher RG, Uihlein A, Keith HM: Spina bifida and cranium bifidum: Study of 530 cases. Mayo Clin Proc 1952;27:33–38.
4.
Pang D, Dias MS: Cervical myelomeningoceles. Neurosurgery 1993;33:363–373.
5.
Steinbok P: Dysraphic lesions of the cervical spinal cord. Neurosurg Clin N Am 1995;6:367–376.
6.
Steinbok P, Cochrane DD: The nature of congenital posterior cervical or cervicothoracic midline cutaneous mass lesions. J Neurosurg 1991;75:206–212.
7.
Steinbok P, Cochrane DD: Cervical meningoceles and myelocystoceles: A unifying hypothesis. Pediatr Neurosurg 1995;23:317–322.
8.
McLone DG, Naidich TP: Terminal myelocystocele. Neurosurgery 1985;16:36–43.
9.
Peacock WJ, Murovic JA: Magnetic resonance imaging in myelocystoceles. J Neurosurg 1989;70:804–807.
10.
Weaver KB, Matthews H, Chegini S, King H, Shurtlef DB, McLaughlin JF: Vertebral column and spinal cord malformation in children with extrophy of the cloaca, with emphasis on their functional correlates. Teratology 1997;55:241–248.
11.
Schmitt HP, Kawakami M: Unusual split of the spinal cord in caudal regression syndrome with myelocystocele. Brain Dev 1982;4:469–474.
12.
Delashaw JB, Park TS, Cail WM, Vollmer DG: Cervical meningocele and associated spinal anomalies. Childs Nerv Syst 1987;3:165–169.
13.
Nishino A, Shirane R, So K, Arai H, Suzuki H, Sakurai Y: Cervical myelocystocele with Chiari II malformation: Magnetic resonance imaging and surgical treatment. Surg Neurol 1998;49:269–273.
14.
Pang D, Dias MS, Abdah-Barmada M: Split cord malformation. I. A unified theory of embryogenesis for double cord malformations. Neurosurgery 1992;31:451–480.
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