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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