Cutaneous Lesions in Occult Spinal Dysraphism--correlation with Intraspinal Findings

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2005 May 6

PMID 15875199

Citations 17

Authors

C Schropp

N Sorensen

H Collmann

J Krauss

Affiliations

Soon will be listed here.

Abstract

Objects: This study was conducted to investigate the frequency and type of cutaneous stigmata in different forms of occult spinal dysraphism (OSD) and their correlation to the underlying malformation.

Methods: Fourteen different forms of spinal malformations were identified in 358 operated patients with OSD. Most frequent findings (isolated or in combinations) were spinal lipoma, split cord malformation, pathologic filum terminale, dermal sinus, meningocele manqué, myelocystocele and caudal regression. Stigmata were present in 86.3% of patients, often in various combinations. Using a binary logistic regression analysis, significant correlations with distinct malformations were found for subcutaneous lipomas, skin tags, vascular nevi, pori, hairy patches, hypertrichosis, meningoceles and "cigarette burn" marks.

Conclusions: Cutaneous markers in a high percentage accompany spinal malformations. Due to the correlations of different stigmata to distinct malformations, they can aid the clinician in further diagnostic and therapeutic work.

Citing Articles

Spinal Dysraphism Presenting as Neuropathic Ulcers: A Case Report of a Delayed Diagnosis.

Al-Luhaibi R, Khayyat S, Al-Sayed S, Alhawsawi W, Al Hawsawi K Case Rep Dermatol. 2023; 15(1):177-181.

PMID: 37899947 PMC: 10601735. DOI: 10.1159/000533517.

Role of Magnetic Resonance Imaging in the Screening of Closed Spinal Dysraphism.

Aoki H, Mugikura S, Shirane R, Hayashi T, Kimiwada T, Sakai K Neurol Med Chir (Tokyo). 2023; 63(10):473-481.

PMID: 37648539 PMC: 10687668. DOI: 10.2176/jns-nmc.2023-0002.

Risk of occult spinal dysraphism based on lumbosacral cutaneous manifestations.

Shields L, Mutchnick I, Daniels M, Peppas D, Rosenberg E SAGE Open Med. 2021; 9:20503121211037172.

PMID: 34394932 PMC: 8358506. DOI: 10.1177/20503121211037172.

Incidence of Occult Spinal Dysraphism Among Infants With Cutaneous Stigmata and Proportion Managed With Neurosurgery: A Systematic Review and Meta-analysis.

Choi S, Yoon H, Hwang J, Suh C, Jung A, Cho Y JAMA Netw Open. 2020; 3(7):e207221.

PMID: 32614421 PMC: 7333023. DOI: 10.1001/jamanetworkopen.2020.7221.

Dorsal midline cutaneous stigmata associated with occult spinal dysraphism in pediatric patients.

Jung Sung H, Lee H Korean J Pediatr. 2018; 62(2):68-74.

PMID: 30304899 PMC: 6382965. DOI: 10.3345/kjp.2018.06744.

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