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Acta pediatr. esp ; 78(3/4): e161-e163, mar.-abr. 2020. ilus
Article in Spanish | IBECS | ID: ibc-202534

ABSTRACT

El hallazgo de una alteración cutánea en la región dorsal de los recién nacidos constituye un signo infrecuente aunque de gran importancia clínica debido a su posible asociación con disrafismo espinal. El disrafismo espinal oculto es un defecto en el cierre del tubo neural en el que la lesión no se encuentra expuesta al exterior sino cubierta por piel. Su principal complicación es la asociación con el síndrome de médula anclada, que puede causar un daño neurológico irreversible. De ahí la relevancia de un diagnóstico y tratamiento precoces. Presentamos el caso de un neonato varón con disrafismo espinal oculto asociado a médula anclada en el que se realizó un diagnóstico y tratamiento precoces


The finding of a cutaneous alteration in the dorsal region of a newborn is an uncommon sign. It is an important manifestation due to its possible association with spinal dysraphism. Occult spinal dysraphism is a defect in the closure of the neural tube without exposure of the malformation, which is covered by skin. The main complication of occult spinal dysraphism is the association with the tethered cord syndrome that leads to important neurological manifestations which can be irreversible. Because of that, an early diagnosis and treatment must be a priority for clinicians. We present a case of a male newborn with occult spinal dysraphism associated with tethered cord syndrome. In this case an early diagnosis and treatment was successfull


Subject(s)
Humans , Male , Infant, Newborn , Neural Tube Defects/complications , Neural Tube Defects/diagnostic imaging , Spinal Dysraphism/diagnostic imaging , Spinal Dysraphism/etiology , Spinal Dysraphism/surgery , Neural Tube Defects/surgery , Early Diagnosis , Ultrasonography , Magnetic Resonance Imaging
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