Doctor reviews: Is it a tethered cord?? U/S or MRI or NOTHING!!!
An infant may have a SIMPLE or an ATYPICAL dimple, a hemangioma, or a HAIRY tuft in their lower back area. What abnormalities of the spinal cord and nerve roots should we be worried about? What is a tethered cord? Which lesions are we most concerned about? When do we get an ultrasound? When do we get an MRI? When can we watch these clinically with no imaging? Watch this video and learn it all!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
https://med.stanford.edu/newborns/professional-education/photo-gallery/back.html#sacral_dimple
Beth A. Drolet,
CUTANEOUS SIGNS OF NEURAL TUBE DYSRAPHISM, Pediatric Clinics of North America, Volume 47, Issue 4,2000,
Pages 813-823,ISSN 0031-3955,
https://doi.org/10.1016/S0031-3955(05)70241-8.
Prospective Study of Spinal Anomalies in Children with Infantile Hemangiomas of the Lumbosacral Skin Drolet, Beth A. et al. The Journal of Pediatrics, Volume 157, Issue 5, 789 - 794
Dorsal dermal sinus and dermoid cysts in occult spinal dysraphism Hattori, Haruo et al.
The Journal of Pediatrics, Volume 134, Issue 6, 793
Sewell MJ, Chiu YE, Drolet BA. Neural tube dysraphism: review of cutaneous markers and imaging. Pediatr Dermatol. 2015 Mar-Apr;32(2):161-70. doi: 10.1111/pde.12485. Epub 2014 Dec 29. PMID: 25557454.
https://med.stanford.edu/newborns/professional-education/photo-gallery/back.html#sacral_skin_tag
Petra M. Klinge, Daniel Cho, Helena O. Taylor, Clinton S. Morrison, Craig B. Birgfeld, Stephen R. Sullivan, Human tails: Interdisciplinary treatment for dorsal cutaneous appendages and associated spectrum of spinal dysraphism, Interdisciplinary Neurosurgery, Volume 19, 2020,100632,
Kim, I., Oakes, W.J. (2019). Clinical Presentations of the Occult Spinal Dysraphisms. In: Tubbs, R., Oskouian, R., Blount, J., Oakes, W. (eds) Occult Spinal Dysraphism. Springer, Cham. https://doi.org/10.1007/978-3-030-10994-3_6
Beth A. Drolet, CUTANEOUS SIGNS OF NEURAL TUBE DYSRAPHISM, Pediatric Clinics of North America, Volume 47, Issue 4,2000,
Pages 813-823,ISSN 0031-3955,
https://doi.org/10.1016/S0031-3955(05)70241-8
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*Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.