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Sacral nevus flammeus simplex: the role of imaging
D Ben-Amitai1, S Davidson, M Schwartz
1Pediatric Dermatology Clinic, Department of Neonatology, Imaging Institute, and Division of Gastroenterology, Schneider Children's Medical Center of Israel, Beilinson Campus, Petah Tiqva, Israel.
Pediatric Dermatology
|December 21, 2000
Summary
Sacral nevus flammeus simplex (SNFS) in newborns may be the sole indicator of spinal dysraphism. Further investigation with imaging is recommended for infants diagnosed with SNFS to detect potential spinal abnormalities.
Area of Science:
- Neonatal dermatology
- Pediatric neurology
- Medical imaging
Background:
- Midline cutaneous lesions in neonates warrant investigation for spinal dysraphism.
- Sacral nevus flammeus simplex (SNFS) is a type of birthmark that requires further evaluation.
Purpose of the Study:
- To determine if SNFS in neonates is associated with spinal dysraphism.
- To assess the diagnostic value of SNFS as a potential indicator of underlying spinal anomalies.
Main Methods:
- Prospective examination of neonates for SNFS over a 6-month period.
- Clinical evaluation including physical and neurological assessments.
- Ultrasound imaging of the lumbosacral area for neonates with SNFS.
Main Results:
- Twenty-eight out of 3623 neonates (0.77%) were diagnosed with SNFS.
- Physical and neurological examinations were unremarkable in SNFS patients.
- One case of diastematomyelia was detected via ultrasound in 25 evaluated patients.
Conclusions:
- SNFS can be the only presenting cutaneous sign of spinal dysraphism.
- Neonates diagnosed with SNFS should undergo investigation for occult spinal dysraphism.