Dorsal midline cutaneous stigmata associated with occult spinal dysraphism in pediatric patients / 소아과
Korean Journal of Pediatrics
; : 68-74, 2019.
Article
em En
| WPRIM
| ID: wpr-741364
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To investigate the prevalence of occult spinal dysraphism (OSD) and subsequent neurosurgery in pediatric patients with isolated or combined dorsal midline cutaneous stigmata with or without other congenital malformations.METHODS:
We carried out a retrospective review of patients who underwent sonography or magnetic resonance imaging (MRI) for OSD because of suspicion of dorsal midline cutaneous stigmata (presumed to be a marker for OSD) between January 2012 and June 2017. Information about patient characteristics, physical examination findings, spinal ultrasound and MRI results, neurosurgical notes, and accompanying congenital anomalies was collected.RESULTS:
Totally 250 patients (249 ultrasound and one MRI screening) were enrolled for analysis. Eleven patients underwent secondary MRI examinations. The prevalence of OSD confirmed by an MRI was 2.4% (6 patients including one MRI screening). Five patients (2%) had tethered cord and underwent prophylactic neurosurgery, 3 of whom had a sacrococcygeal dimple and a fibrofatty mass. Prevalence of tethered cord increased as markers associated with a sacrococcygeal dimple increased (0.5% of the isolated marker group, 8.1% of the 2-marker group, and 50% of the 3-marker group). Incidence of OSD with surgical detethering in 17 other congenital anomaly patients was 11.8%, which was higher than the 1.3% in 233 patients without other congenital anomalies.CONCLUSION:
Our results suggest that the presence of dorsal midline cutaneous stigmata, particularly fibrofatty masses, along with a sacrococcygeal dimple is associated with OSD or cord tethering requiring surgery. OSD should be suspected in patients with concurrent occurrence of other congenital anomalies.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Exame Físico
/
Anormalidades Congênitas
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Imageamento por Ressonância Magnética
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Incidência
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Prevalência
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Estudos Retrospectivos
/
Cristianismo
/
Ultrassonografia
/
Defeitos do Tubo Neural
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Neurocirurgia
Tipo de estudo:
Diagnostic_studies
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Incidence_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Korean Journal of Pediatrics
Ano de publicação:
2019
Tipo de documento:
Article