Spinal dysraphism associated with the cutaneous lumbosacral infantile hemangioma: a neuroradiological review. Pediatr Radiol 2012 Mar;42(3):315-20
Date
12/06/2011Pubmed ID
22138893DOI
10.1007/s00247-011-2262-5Scopus ID
2-s2.0-84863443017 (requires institutional sign-in at Scopus site) 29 CitationsAbstract
BACKGROUND: Spinal dysraphism is suspected in patients with midline abnormalities, especially in those with lumbosacral cutaneous markings. A recent prospective study demonstrated that isolated cutaneous infantile hemangiomas (IH) of the lumbosacral region have one of the highest risks (relative risk of 438) of associated spinal dysraphism.
OBJECTIVE: The specific types of dysraphism and radiological findings associated with cutaneous IH of the lumbosacral region have not been described in detail, to the best of our knowledge. The aim of this multicenter study is to retrospectively classify types of spinal anomalies associated with the cutaneous lumbosacral IH.
MATERIALS AND METHODS: The radiological images of 20 cases of lumbosacral infantile hemangioma associated with spinal dysraphism were reviewed.
RESULTS: Tethered cord was found in 60% of the 20 cases, spinal lipoma was present in 50% and 45% had intraspinal hemangiomas. Sinus tract was found in 40% of the children.
CONCLUSION: A range of spinal anomalies is associated with cutaneous lumbosacral infantile hemangiomas and MRI can be used to characterize these abnormalities.
Author List
Schumacher WE, Drolet BA, Maheshwari M, Horii KA, Nopper AJ, Newell BD, Metry DW, Garzon MC, Morel KD, Chamlin SL, Mancini AJ, Frieden IJ, Johnson CMAuthor
Mohit Maheshwari MD Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abnormalities, MultipleFemale
Hemangioma
Humans
Infant, Newborn
Lumbosacral Region
Magnetic Resonance Imaging
Male
Skin Neoplasms
Spinal Dysraphism