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[Faun tail and sacral hemangioma associated with occult spinal dysraphism]
I Laurent1, C Léauté-Labrèze, J Maleville
1Unité de Dermatologie Pédiatrique, Hŏpital Pellegrin-Enfants, Bordeaux.
Introduction:
Hemangiomas are the most frequent skin tumor of childhood. Usually, a "wait and see" policy is adopted. However, a sacral hemangioma may reveal occult neurodysraphism.
Case Report:
MRI discovered lipomyelomeningocele and a tethered spinal chord in an asymptomatic 4-month-old boy with sacral hemangioma and faun tail. Because of absence of neurological defect only surgery of the caudal appendage was performed for the moment.
Discussion:
Midline lombosacral lesions, as well as lipomas, hirsutism or pilonidal cyst, may be associated with occult spinal defect; the most severe is tethered chord. Renal or ano-genital anomalies can be also associated.
Conclusion:
MRI is necessary in case of midline sacral hemangioma to detect underlying anomalies.