Ultrasonographic clues for diagnosis of spina bifida occulta in children

Çakmakçı, Emin; Çınar, Hasibe Gökçe; Üner, Çiğdem; Ucan, Berna; Ekşioğlu, Ayşe Seçil; Pala, Melek; Yildiz, Yasemin; Çakmakçı, Selma; Yikmaz, Hülya Şeker

doi:10.21037/qims.2016.09.02

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…Also, evaluation of post void residue by ultrasonography was used in these children to diagnose lower urinary dysfunction (22). Ultrasonography had also been used in diagnosis of spina bifida occulta in children with nocturnal enuresis and can be useful in evaluating the treatment of these children (14,23). The aim of the current study was to determine the frequency of urinary tract abnormalities found in ultrasound of children with MPNE and to compare with children without MPNE to determine whether or not to performing ultrasound in these children is necessary.…”

Section: Discussionmentioning

confidence: 99%

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Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Siroosbakht

Rezakhaniha

2018

J Compr Ped

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Background: Primary nocturnal enuresis is the most common type of enuresis and has profound detrimental effects on quality-oflife and sleep patterns, and increased morbidity. The purpose of this study was to determine the frequency of urinary tract abnormalities found in ultrasound of children with monosymptomatic primary nocturnal enuresis (MPNE) and to compare with ultrasound findings of children without MPNE to determine whether performing ultrasound in these children is necessary. Methods: One hundred and two children aged three to 13 years with MPNE at Golestan Hospital affiliated to the Military University of Medical Sciences of Tehran, Iran from 2016 to 2017, were enrolled in this case-control study. The control group included 59 children with no history of voiding dysfunction, who had abdominal ultrasoud for other than urinary system-related causes. The ultrasound findings were compared between the MPNE and control group. Results: Urinary tract abnormality, detected by ultrasound, was found in 15 children (14.7%) in the MPNE group and one child (1.69%) of the control group, with a statistically significant difference (P < 0.05). Findings of the nocturnal enuresis group were mild unilateral or bilateral kidney fullness in three children (20%), kidney simple cysts in one child (6.66%), hydrocele in three children (20 %), increased thickness or irregularity in the bladder wall of eight children (53.33%), and increased bladder wall thickness in one child of the control group. Conclusions: Urinary abnormalities discovered by ultrasonography in MPNE were not clinically significant and did not require any other diagnostic tests. It may only be of concern to parents and cause unnecessary diagnostic procedures by the physician. This study showed that ultrasound should be done for patients with resistant or inappropriate clinical response during treatments.

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Section: Discussionmentioning

confidence: 99%

“…It is also possible to use ultrasound in the diagnosis of spina bifida occulta (SBO) in children with enuresis. The sign of "single and double echogeneous cap signs and the V-shaped tip of spine" in the L5 and S1 can be useful in detecting SBO (14).…”

Section: Introductionmentioning

confidence: 99%

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Siroosbakht

Rezakhaniha

2018

J Compr Ped

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“…Plain radiographs of the spine performed as the primary imaging modality (where dysraphy was not always found). All patients underwent magnetic resonance imaging, while in 7cases computed tomography (CT) was performed to further assess bone deformities (16)(17)(18)(19) Magnetic resonance imaging showed the pathology, congenital anatomical abnormality and the tract in all cases Figure3. The surgery aimed to excise the sinus tract completely, excisable skin tags, and correct the dysraphic state in the same setting (2,20,21) Surgical steps were common for all the cases.…”

Section: Discussionmentioning

confidence: 99%

Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Center

Khasawneh¹,

Qroom²,

Fayyad³

2017

JRMS

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The aim of this study is to investigate the corresponding variables: age, sex, the reason for consultation, clinical manifestations, location, methods of diagnosis, time of surgery, type of surgery, histological diagnosis, the presence of infection and subsequent evolution, with baseline comparison of our findings to those reported in the literature. Methods: A retrospective analysis carried out of the medical records of all the patients presented with spinal dermal sinuses cases treated surgically in our setup over a period of 10-years. From January 2005 to January 2015, at King Hussein Medical Center. The mean follow up was 87 months (14-109 months). Results: The study group included 53 consecutive patients who were managed in a single center. Male : female ratio was 28:25. Mean age was 3.4 years, ranging from one month to 15 years. The mean follow up was 87 months (14-109 months). Anatomically the majority of the treated sinuses occurred in lumbar region 37-cases, representing 69.8 % of cases. 83% progressed satisfactorily. Conclusion: Spinal dermal sinuses are a rare entity that may progress to a serious neurological condition. Early detection and management have good outcomes. The Paediatrician has a crucial role in diagnosis. Surgery aims to excise the sinus tract completely, excisable skin tags, and correct the dysraphic state in the same setting.

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“…US is the first-line imaging technique for the assessment of the spine and its content in the youngest children [296][297][298][299][300][301][302][303][304]. During the first 3-6 months of life, the incompletely ossified posterior vertebral arch offers a valuable acoustic window to spinal US.…”

Section: Clinical Applicationsmentioning

confidence: 99%

“…However, MRI remains the first-line technique in older children when ossification of the posterior arch is complete [306]. Newborns should undergo spinal US evaluation in the following circumstances: posterior midline cutaneous markers (midline or paramedian back masses or dimples higher than the intergluteal fold especially when associated with midline skin discoloration, skin tags, hair tufts, hemangiomas), foot abnormalities, anorectal and genitourinary malformations and neurologically abnormal lower limbs, spina bifida occulta, tethered cord, intracanal masses, raphe dysraphism including myelomeningocele, myeloceles [296][297][298][299][300][301][302][303][304]. Nevertheless, the diagnosis should ultimately be confirmed and characterized by MRI.…”

Section: Clinical Applicationsmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

et al. 2021

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The second part of the Guidelines and Recommendations for Musculoskeletal Ultrasound (MSUS), produced under the auspices of EFSUMB, following the same methodology as for Part 1, provides information and recommendations on the use of this imaging modality for joint pathology, pediatric applications, and musculoskeletal ultrasound-guided procedures. Clinical application, practical points, limitations, and artifacts are described and discussed for every joint or procedure. The document is intended to guide clinical users in their daily practice.

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Ultrasonographic clues for diagnosis of spina bifida occulta in children

Cited by 4 publications

References 12 publications

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Center

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

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