Abstract
Cutaneous birthmarks are usually innocuous. However, when over the lumbosacral spine, especially, in the midline, the likelihood of an associated underlying spinal dysraphism rises. Herein, we discuss the various cutaneous markers and their associated occult spinal dysraphisms.
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References
Sarin YK. Cutaneous stigmata of occult spinal dysraphism. J Neonatal Surg. 2013;2:15.
O’Neill BR, et al. Use of magnetic resonance imaging to detect occult spinal dysraphism in infants. J Neurosurg Pediatr. 2017;19(2):217–26.
Chern JJ, et al. Use of lumbar ultrasonography to detect occult spinal dysraphism. J Neurosurg Pediatr. 2012;9(3):274–9.
Sardana K, et al. A prospective study of cutaneous manifestations of spinal dysraphism from India. Pediatr Dermatol. 2009;26(6):688–95.
Ben-Sira L, et al. Low-risk lumbar skin stigmata in infants: the role of ultrasound screening. J Pediatr. 2009;155(6):864–9.
Bradford DS, Heithoff KB, Cohen M. Intraspinal abnormalities and congenital spine deformities: a radiographic and MRI study. J Pediatr Orthop. 1991;11(1):36–41.
Tarcan T, et al. The value of sacral skin lesions in predicting occult spinal dysraphism in children with voiding dysfunction and normal neurological examination. J Pediatr Urol. 2012;8(1):55–8.
Schropp C, et al. Cutaneous lesions in occult spinal dysraphism – correlation with intraspinal findings. Childs Nerv Syst. 2006;22(2):125–31.
Epelman M, et al. Vascular lesions – congenital, acquired, and iatrogenic: imaging in the neonate. Semin Ultrasound CT MR. 2015;36(2):193–215.
Jacobs AH, Walton RG. The incidence of birthmarks in the neonate. Pediatrics. 1976;58(2):218–22.
Senthilkumar M, Thappa DM. Vascular nevi in children. Indian J Dermatol Venereol Leprol. 2006;72(1):19–23.
Bruckner AL, Frieden IJ. Hemangiomas of infancy. J Am Acad Dermatol. 2003;48(4):477–93; quiz 494–6
Dohil MA, Baugh WP, Eichenfield LF. Vascular and pigmented birthmarks. Pediatr Clin N Am. 2000;47(4):783–812, v–vi
Albright AL, Gartner JC, Wiener ES. Lumbar cutaneous hemangiomas as indicators of tethered spinal cords. Pediatrics. 1989;83(6):977–80.
Humphreys RP. Clinical evaluation of cutaneous lesions of the back: spinal signatures that do not go away. Clin Neurosurg. 1996;43:175–87.
Tubbs RS, et al. Isolated flat capillary midline lumbosacral hemangiomas as indicators of occult spinal dysraphism. J Neurosurg. 2004;100(2 Suppl Pediatrics):86–9.
Pavone P, et al. Congenital generalized hypertrichosis: the skin as a clue to complex malformation syndromes. Ital J Pediatr. 2015;41:55.
Kriss VM, Besai NS. Occult spinal dysraphism in neonates: assessment of high-risk cutaneous stigmata on sonography. Am J Roentgenol. 1998;171:1692–7.
Tubbs RS, et al. Neurological presentation and long-term outcome following operative intervention in patients with meningocele manqué. Br J Neurosurg. 2003;17(3):230–3.
Schmidt C, et al. Meningocele manqué: a comprehensive review of this enigmatic finding in occult spinal dysraphism. Childs Nerv Syst. 2017;33(7):1065–71.
Robinson AJ, Russell S, Rimmer S. The value of ultrasonic examination of the lumbar spine in infants with specific reference to cutaneous markers of occult spinal dysraphism. Clin Radiol. 2005;60(1):72–7.
Drolet BA. Cutaneous signs of neural tube dysraphism. Pediatr Clin N Am. 2000;47(4):813–23.
Pierre-Kahn A, et al. Congenital lumbosacral lipomas. Childs Nerv Syst. 1997;13(6):298–334; discussion 335
Brunelle F, et al. Lumbar spinal cord motion measurement with phase-contrast MR imaging in normal children and in children with spinal lipomas. Pediatr Radiol. 1996;26(4):265–70.
Peter JC, Sinclair-Smith C, de Villiers JC. Midline dermal sinuses and cysts and their relationship to the central nervous system. Eur J Pediatr Surg. 1991;1(2):73–9.
Clark P, Davidson L. Case report: pseudotail with dermal sinus tract and tethered cord. J Ultrasound. 2016;19(3):239–41.
Tubbs RS, et al. Enigmatic human tails: a review of their history, embryology, classification, and clinical manifestations. Clin Anat. 2016;29(4):430–8.
Matsumoto S, Yamamoto T, Okura K. Human tail associated with lipomeningocele – case report. Neurol Med Chir (Tokyo). 1994;34(1):44–7.
Silberstein E, et al. Aplasia cutis congenita: clinical management and a new classification system. Plast Reconstr Surg. 2014;134(5):766e–74e.
Higginbottom MC, et al. Aplasia cutis congenital: a cutaneous marker of occult spinal dysraphism. J Pediatr. 1980;96:687–9.
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Johal, J., Wilson, C., Tubbs, R.S., Oakes, W.J. (2019). Cutaneous Stigmata and the Occult Spinal Dysraphisms. In: Tubbs, R., Oskouian, R., Blount, J., Oakes, W. (eds) Occult Spinal Dysraphism. Springer, Cham. https://doi.org/10.1007/978-3-030-10994-3_4
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DOI: https://doi.org/10.1007/978-3-030-10994-3_4
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