Unusual Spinal Dysraphic Lesions

Abstract

Human tail and multiple spinal dysraphism are unusual congenital malformations. Human tail appeared as a prominent lesion from the lumbosacrococcygeal region, generally without connection between the tail and the neurospinal axis. Spinal dysraphisms are usually isolated, reaching 0.038% of incidence of multiple spinal dysraphisms in the same child. There were three cases described of unusual spinal dysraphic lesions: two cases of human tail and a case of a multiple thoracic myelomeningocele. The literature about diagnosis and treatment was reviewed. Microsurgical technique was performed to provide better exploration of the lesions, and resection could be done in those congenital malformations, without morbidity.

Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele

“…We recommend, as suggested by other authors, that at least 400 µg of a folic acid supplement should be consumed daily; patients with an intermediate to high risk of neural tube defects (such as patients with a previous well-known history of neural tube defects) should consume 4-5 mg folic acid 5,22,23 . Investigation of proposed type of delivery revealed high rates (25%) of vaginal delivery.…”

“…A previous study identified the irregularity and deficiency of prenatal monitoring in pregnant women, assisted by a poor public health system, in the state of Bahia (Brazil) 17 and indicated that these may be associated with the high incidence of spinal dysraphism 5,22,23 . We recommend, as suggested by other authors, that at least 400 µg of a folic acid supplement should be consumed daily; patients with an intermediate to high risk of neural tube defects (such as patients with a previous well-known history of neural tube defects) should consume 4-5 mg folic acid 5,22,23 .…”