Occult Spinal Dysraphism in the Presence of Rare Cutaneous Stigma in a Neonate: Importance of Ultrasound and Magnetic Resonance Imaging

نویسندگان

  • Claudio Rodrigues Pires
  • Jane Marília Matos de Medeiros
  • Edward Araujo Júnior
  • Adriano Czapkowski
  • Sebastião Marques Zanforlin Filho
چکیده

Occult spinal dysraphism is defined as a group of dystrophic conditions below an intact cover of dermis and epidermis. Ultrasonography using linear transducers is a fast, inexpensive, and effective method that makes it possible to view the content of the vertebral canal and bone structures. Magnetic resonance imaging (MRI) is reserved for elucidating the type of dysraphism and for planning corrective surgery. We present a case of a five-day-old female neonate who presented cutaneous stigmas (in the lumbar region, hands, and feet), in whom ultrasonography demonstrated dysraphism in the lumbar region. MRI confirmed the type of dysraphism and enabled surgical planning.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Sonographic findings in a neonate with diastematomyelia and a tethered spinal cord.

ongenital midline cutaneous paraspinal lesions, mostly located in the lumbosacral areas, are widely recognized as markers of occult spinal dysraphism. Diastematomyelia, or a split spinal cord, is an unusual congenital spinal abnormality in which the spinal cord is divided into 2 columns by a fibrous, cartilaginous, or bony septum. In most cases, lesions are located on the lower thoracic and upp...

متن کامل

Skin 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 کامل

Lipoma 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...

متن کامل

A rare cutaneous sign of occult spinal dysraphism with tethered spinal cord.

©2008, World J Pediatr. All rights reserved. A female, born after normal pregnancy and labor, was referred for consultation for a 1-cm long fi brous appendage in the midline of her lumbosacral region one day after birth (Fig. 1). Although she was neurologically intact, computed tomography at 3 months revealed L4-L5 spina bifi da (Fig. 2A), and magnetic resonance imaging (MRI) showed a low conus...

متن کامل

Isolated 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 کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 2013  شماره 

صفحات  -

تاریخ انتشار 2013