Spinal Dysraphism Presenting as a Translucent Papule in a Man

Finch et al discuss the study of a man with a meningocele, an open type of spinal dysraphism, presenting as a translucent papule on the posterior midline neck. A man in his 60s presented for a skin examination, during which a distinctive lesion was incidentally noted on his posterior neck. The examination revealed a 1-cm, dome-shaped, pedunculated papule arising from a depression on the inferior aspect of his posterior midline neck. Magnetic resonance imaging revealed a midline defect extending from the skin to the vertebral canal, confirming the diagnosis of a meningocele.