Abstract
Anterior myelocystocele has not been reported previously. Our case showed anterior herniation of myelocystocele sac. This challenges the established hypothesis of Steinbock and Cochrane which holds partial neural-epidermal adhesion responsible for drawing the neural tissue outwards towards the skin. This cannot explain occurrence of anterior myelocystocele as there is no neural-epidermal adhesion anteriorly at any stage of embryogenesis. Myelocystoceles need to be differentiated from meningoceles as early as possible (preferably prenatally) due to different surgical treatments and possibility of fetal intervention.
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