The classification and embryogenesis of cystic cervical dysraphic lesi
ons are discussed in the light of the authors' experience and review o
f the literature. It is felt that these lesions are best described as
meningoceles or myelocystoceles, and the use of the term 'myelomeningo
cele' may be more confusing than clarifying. The authors hypothesize t
hat the cervical meningocele and the myelocystocele are part of a spec
trum of the same underlying developmental abnormality, namely limited
dorsal myeloschisis, with the eventual abnormality depending on the pr
esence or absence of associated hydromyelia.