Cutaneous Stigmata of Occult Spinal Dysraphism
نویسنده
چکیده
We describe a 4-year-old Hispanic boy with a dermal pit and an overlying macular vascular malformation in the lumbosacral area. Magnetic resonance imaging of the region revealed an intraspinal lesion at L1-L2. A fibrous tract was excised. A benign lipoma intrinsic to the roots of the cauda equina was noted at surgery. The cutaneous stigmata of occult spinal dysraphisms are reviewed.
منابع مشابه
Cutaneous Stigmata of Occult Spinal Dysraphism
A boy was born with a patch of hair over the spine with a dimple at its cranial aspect (Fig. 1). The pediatrician assured the parents that the hair would eventually fall out and the dimple was harmless. Later on, parents visited another physician for the toddler's constipation and urinary tract infections, who recognized significance of hairy patch at sacrum. The magnetic resonance imaging (MRI...
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Cutaneous markers have a crucial role in the detection and diagnosis of occult neural tube dysraphism. Recognition of these stigmata and appropriate radiologic imaging decrease the long-term morbidity of this condition.
متن کاملIsolated flat capillary midline lumbosacral hemangiomas as indicators of occult spinal dysraphism.
OBJECT Historically, cutaneous stigmata representative of occult spinal dysraphism (OSD) have included lumbar hemangiomas. Frequently, this skin change is found in conjunction with other cutaneous alterations such as dermal sinus tracts and subcutaneous lipomas. Debate has recently surrounded the question of whether these skin changes in isolation might indicate underlying spinal disease. The a...
متن کاملSkin markers of occult spinal dysraphism in children: a review of 54 cases.
OBJECTIVES To verify the diagnostic value of lumbosacral midline cutaneous lesions in asymptomatic children to detect occult spinal dysraphism (OSD) and to propose a practical approach for clinical investigations with respect to the type of cutaneous lesions observed. DESIGN Retrospective study of 54 children referred to the Department of Pediatric Dermatology between 1990 and 1999 for congen...
متن کاملLipoma and Occult Spinal Dysraphism
Received: 19. 10. 2006. Accepted: 20. 11. 2006. Congenital abnormality, an occult spinal dysraphism �ith spinal lipoma, is a rare dysraphic spinal abnormality. The syndrome, treatments, outcomes, and current controversies are revie�ed. Occult spinal dysraphism usually is usually manifested �ithout clinical changes, either neurological or local changes. Local cutaneous changes associated �ith oc...
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