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Updated: Jun 8, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Coccygeal dermal sinus: Clinical relevance and management]
J F Martínez-Lage1, F J Villarejo Ortega, M Galarza
1Hospital Universitario, Virgen de la Arrixaca, Murcia, España. juanf.martinezlage@cablemurcia.com
Anales De Pediatria (Barcelona, Spain : 2003)
|September 28, 2010
Summary
Dermal sinuses on a child's back are common. A thorough physical exam, especially noting intergluteal location, can help diagnose these pediatric lesions and reduce unnecessary neuroimaging.
Area of Science:
- Pediatric Neurosurgery
- Dermatology
- Radiology
Context:
- Dermal sinuses on a child's back frequently lead to pediatric neurosurgical consultations.
- Early diagnosis and treatment are crucial due to the potential clinical consequences of these lesions.
Purpose:
- To identify key clinical features indicating potential intradural penetration of pediatric dermal sinuses.
- To guide the necessity of neuroimaging studies and pediatric neurosurgical consultation.
Summary:
- A review of 32 children with sacro-coccygeal pits found no cases of intradural penetration.
- Physical examination, particularly intergluteal sinus location, is a key diagnostic clue.
- Ultrasound and MRI can aid in evaluating doubtful cases before neurosurgical consultation.
Impact:
- A detailed physical examination can decrease the need for neuroimaging in pediatric dermal sinus cases.
- This study refines diagnostic approaches for sacro-coccygeal pits, potentially reducing healthcare costs and patient anxiety.
- Highlights the importance of clinical assessment in managing pediatric spinal anomalies.
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