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Figure 1: (a) Pre - operative clinical photograph demonstrating midline cystic cervical lesion covered with dysplastic skin suggestive of non - terminal myelocystocele (MCC). (b) Axial T2W magnetic resonance image (MRI) demonstrating "open - book" configuration of cord with hydromyelic cavity continuing as myelocele (MYC) through spina-bifida (SB) bony defect and investing on outer cystic cavity of dural meningocele (MC) below intact skin. (c) and (d) Saggital T2W MRI showing C6/7 and D1/2 block vertebrae (BV), mild chiari II malformation (ACM) features with cerebellar pegging through foramen magnum. Cord is tented dorsally to meningocele (MC) sac with resultant increased sub - arachnoidal space along with abnormal cerebrospinal fluid flow dynamics ventrally creating flow voids (FV)

Figure 1: (a) Pre - operative clinical photograph demonstrating midline cystic cervical lesion covered with dysplastic skin suggestive of non - terminal myelocystocele (MCC). (b) Axial T2W magnetic resonance image (MRI) demonstrating