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Dorsal midline cutaneous stigmata associated with occult spinal dysraphism in pediatric patients / 소아과
Korean Journal of Pediatrics ; : 68-74, 2019.
Artículo en Inglés | WPRIM | ID: wpr-741364
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.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Anomalías Congénitas / Imagen por Resonancia Magnética / Incidencia / Prevalencia / Estudios Retrospectivos / Cristianismo / Ultrasonografía / Defectos del Tubo Neural / Neurocirugia Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Anomalías Congénitas / Imagen por Resonancia Magnética / Incidencia / Prevalencia / Estudios Retrospectivos / Cristianismo / Ultrasonografía / Defectos del Tubo Neural / Neurocirugia Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2019 Tipo del documento: Artículo