A caudal meningocele may develop a fistula that can drain cerebrospinal fluid through the vagina.
Clinical presentation:
(1) persistent clear vaginal fluid drainage
(2) headache
(3) vertigo
(4) meningitis
The fluid drainage may initially be assumed to be from a vesicovaginal fistula or related to urinary incontinence.
Imaging may show an anterior meningocele and rectal malformation consistent with Currarino syndrome. The source of fluid is a neurovaginal fistula.
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Specialty: Obstetrics & Gynecology
