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[Occult spinal dysraphism].

Torstein R Meling1, Bernt J Due-Tønnessen, Tryggve Lundar

  • 1Nevrokirurgisk avdeling Rikshospitalet 0027 Oslo. torstein.meling@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 27, 2002
PubMed
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Cutaneous stigmata like hairy patches and lipomas can indicate closed spinal dysraphism (spina bifida occulta). Early detection through clinical exams and MRI is crucial for timely neurosurgical referral.

Area of Science:

  • Neurology
  • Developmental Biology
  • Dermatology

Context:

  • Spinal dysraphism encompasses congenital midline spinal defects affecting neural tissue and coverings.
  • Closed spinal dysraphism, or spina bifida occulta, presents with skin-covered lesions.
  • Specific cutaneous stigmata can signal underlying lower spinal canal malformations.

Purpose:

  • To review occult spina bifida based on relevant literature.
  • To identify key cutaneous indicators of spinal dysraphism.
  • To outline the clinical and imaging approach for suspected cases.

Summary:

  • Cutaneous stigmata such as hairy patches, lipomas, hemangiomas, dermal sinuses, and sacral pits may indicate underlying spinal dysraphism.
  • Clinical examination should assess neurological, urological, and orthopedic signs in children with lumbosacral stigmata.

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  • Spinal MRI is the preferred imaging modality, and affected children require neurosurgical referral.

    • Impact:

    • Enhances understanding of the clinical presentation of occult spinal dysraphism.
    • Promotes early identification and intervention for congenital spinal anomalies.
    • Guides diagnostic pathways and management strategies for pediatric neurosurgery.