Cutaneous signs of spinal dysraphism

Cutaneous signs of spinal dysraphism
  • PMID:25557454
  • High risk
    • Teo or more cutaneous stigmata
    • Lipoma
    • Acrochordon, pseudotail, true tail
    • Aplasia cutis and congenital scars
    • Dermoid cyst or dermal sinus
    • Infantile segmental hemangioma, >2,5cm
  • Intermediate risk
    • Atypical dimples: >5mm diameter, >2,5cm from anal verge
    • Infantile hemangioma <2,5cm
    • Hypertrichosis (faun tail or silky down)
  • Low risk - don’t require imaging
    • Hyperpigmentation or hypopigmentation
    • Melanocytic nevi
    • Simple dimple: <5mm diameter, <2,5cm from anal verge
    • Teratomas
    • Port-wine stain (capillary malformation)/telangiectases
 
Evaluation for for Spinal Dysraphism
  • <3 mo: Ultrasound at an experienced academic institution
  • >3 mo: MRI under anesthesia
  • Refer to neurosurgery based on results of imaging
  • High risk = 2+ lesions, lipomas, dermoid cysts/sinuses, segmental hemangiomas