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Updated: Apr 25, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Fifteen-minute consultation: incidental findings on brain and spine imaging
Chirag Patel1, Desiderio Rodrigues1
1Department of Neurosurgery, Birmingham Children's Hospital, Birmingham, UK.
Insights
Incidental brain and spine imaging findings are common in pediatric neurosurgery referrals. Most of these findings are not serious and rarely require surgical intervention, reducing parental anxiety and unnecessary procedures.
Area of Science:
- Pediatric Neurosurgery
- Neuroradiology
- Medical Imaging
Background:
- Incidental findings on brain and spine imaging are frequent referrals in pediatric neurosurgery.
- These findings often cause parental anxiety and lead to unnecessary investigations and interventions.
Purpose of the Study:
- To review common pathological entities identified as incidental findings in pediatric neurosurgical practice.
- To provide clarity on the management of these incidental findings.
Main Methods:
- Retrospective review of incidental findings in a pediatric neurosurgical practice.
- Analysis of common pathological entities encountered.
Main Results:
- Incidental findings represent a significant portion of pediatric neurosurgical referrals.
- The majority of these incidental findings are benign and do not necessitate surgical treatment.
Conclusions:
- Most incidental brain and spine imaging findings in children do not require surgical intervention.
- Proper evaluation can alleviate parental concern and prevent unnecessary medical procedures.
Abstract:
Incidental findings on imaging of the brain and spine account for a large number of referrals to a paediatric neurosurgical practice. They can be cause of undue concern to the parents and can result in unnecessary investigations and interventions. This article is a review of the common pathological entities identified as incidental findings in the author's experience. The list is not exhaustive and reflects mainly the common conditions referred. Very few of these incidental findings would need surgical intervention.
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