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Related Experiment Videos

Occult spinal dysraphism in the infant

V M Kriss1, T C Kriss, N S Desai

  • 1Department of Diagnostic Radiology, University of Kentucky Medical Center, Lexington 40536-0084, USA.

Clinical Pediatrics
|December 1, 1995
PubMed
Summary

Early detection of occult spinal dysraphism in infants is crucial. Spinal sonography for newborns with lumbosacral skin abnormalities can prevent irreversible neurologic damage.

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Area of Science:

  • Pediatric Neurology
  • Medical Imaging
  • Neurosurgery

Background:

  • Occult spinal dysraphism can lead to progressive neurologic dysfunction.
  • Early detection and treatment are key to preventing irreversible sequelae.
  • Diagnosis is challenging as symptoms often appear late, during ambulation.

Purpose of the Study:

  • To highlight the importance of early detection of occult spinal dysraphism.
  • To identify high-risk infants who may benefit from screening.
  • To emphasize the utility of spinal sonography as a noninvasive screening tool.

Main Methods:

  • Review of clinical presentation and diagnostic challenges.
  • Identification of cutaneous stigmata indicative of underlying spinal anomalies.
  • Recommendation for spinal sonography in asymptomatic neonates with specific skin findings.

Main Results:

  • Cutaneous stigmata over the lumbosacral spine (hemangiomas, hairy patches, dimples, masses) can indicate occult spinal dysraphism in neonates.
  • Neurologic symptoms may not be apparent until later childhood.
  • Spinal sonography is an effective, noninvasive screening method for high-risk infants.

Conclusions:

  • Early clinical recognition and diagnosis are vital for preventing neurologic deterioration.
  • Spinal sonography should be considered for asymptomatic neonates presenting with midline, lumbosacral cutaneous stigmata.
  • Timely neurosurgical intervention can mitigate serious, irreversible outcomes.

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