Diastematomyelia and Scoliosis

Keim, Hugo A.; Greene, Andrew

doi:10.2106/00004623-197355070-00009

Cited by 83 publications

(54 citation statements)

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“…In 6 cases, hypertrichosis was associated with other cutaneous lesions. Keim and Greene 20 reported hypertrichosis in 40% of patients in a series of 112 cases of diastematomyelia. In our opinion, the thick abnormal hair overlying diastematomyelia is more like a faun tail than like hypertrichosis ( Figure 2D).…”

Section: Commentmentioning

confidence: 99%

“…9 Hypertrichosis corresponds to an excess of normal hair with a lumbosacral topography. 15,19,20 An acrochordon is a soft pedunculated "skin tag" and can be categorized as either a tail or a fibroma pendulum. 21 Tail was further categorized into either a human tail (neurectodermal appendage, Figure 2C) or a faun tail (congenital midline lumbosacral tuft or patch of abnormal hair, Figure 2D).…”

Section: For Editorial Comment See Page 1153mentioning

confidence: 99%

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Skin Markers of Occult Spinal Dysraphism in Children

Guggisberg¹,

Hadj‐Rabia²,

Viney³

et al. 2004

Arch Dermatol

225

151

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To verify the diagnostic value of lumbosacral midline cutaneous lesions in asymptomatic children to detect occult spinal dysraphism (OSD) and to propose a practical approach for clinical investigations with respect to the type of cutaneous lesions observed.Design: Retrospective study of 54 children referred to the Department of Pediatric Dermatology between 1990 and 1999 for congenital midline lumbosacral cutaneous lesions.Setting: The private or institutional practices of participating dermatologists and pediatricians.Main Outcome Measures: Evaluation of the diagnostic value of midline cutaneous lesions for the detec-tion of OSD. Association of skin examination findings with spinal anomalies detected by magnetic resonance imaging or ultrasound.Results: Occult spinal dysraphism was detected in 3 of 36 patients with an isolated congenital midline lesion and 11 of 18 patients with a combination of 2 or more different skin lesions.Conclusions: A combination of 2 or more congenital midline skin lesions is the strongest marker of OSD. Careful dermatologic examination is needed to detect suggestive markers and request a spinal magnetic resonance image, which is the most sensitive radiologic approach to detect an OSD.

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Section: Commentmentioning

confidence: 99%

Section: For Editorial Comment See Page 1153mentioning

confidence: 99%

Skin Markers of Occult Spinal Dysraphism in Children

Guggisberg¹,

Hadj‐Rabia²,

Viney³

et al. 2004

Arch Dermatol

225

151

View full text Add to dashboard Cite

show abstract

“…The well-known hallmarks for spinal dysraphism include subcutaneous lipoma, a hairy tuft, a prominent dimple, a midline sinus tract, abnormal piliation, dyschromic lesions, polipoid lesions, and a hypertrophic or atrophic area of skin occurring in or near the midline of the back [4,5,8,[15][16][17]. A review of 200 published cases of occult spinal dysraphism revealed the association with cutaneous signs in more than 50% of instances.…”

Section: Discussionmentioning

confidence: 99%

Lumbosacral Vascular Malformation: A Hallmark for Occult Spinal Dysraphism

et al. 2000

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“…Winter et al [7] при наблюдении за 27 больными с диастематомиелией пришли к выво-ду, что основным фактором, определя-ющим прогрессирование сколиотичес-кой деформации, являются аномаль-ные тела позвонков. Keim, Greene [3] в своих исследованиях тоже не увиде-ли прямой связи между диастематоми-елией и прогрессированием врожден-ного сколиоза. Лечение врожденного сколиоза у таких пациентов должно базироваться на величине деформа-ции и темпах ее прогрессирования.…”

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