Cutaneous markers of occult spinal dysraphism

A female infant was born at 40 weeks' gestational age after an uncomplicated pregnancy with normal prenatal ultrasound findings. After birth, the newborn was found to have a midline sacrococcygeal soft tissue protrusion, a deviated gluteal cleft, and a left paraspinal hypopigmented macula (Fig.  1). The rest of the examination was normal. A spinal magnetic resonance imaging (MRI) performed when the infant was 5 days’ old confirmed the presence of spinal cord tethering, sacrococcygeal lipomyelocele, and dermal sinus tract in continuity with the protrusion (Fig. 2).

Source: Pediatrics and Neonatology - April 12, 2019 Category: Perinatology & Neonatology Authors: Rita Ramos, Rita Guerreiro, Catarina Couto, Andreia Amorim, Margarida Cabral, Anselmo Costa Tags: Images Source Type: research