Lumbar Cutaneous Hemangiomas as Indicators of Tethered Spinal Cords

Author:

Albright A. Leland1,Gartner J. Carlton1,Wiener Eugene S.1

Affiliation:

1. The Children's Hospital of Pittsburgh and the University of Pittsburgh School of Medicine, Pittsburgh

Abstract

Children with cutaneous hemangiomas in the lumbar region often also have tethered spinal cords. This diagnosis can be overlooked, because children with cutaneous hemangiomas may be otherwise asymptomatic and neurologically normal. From 1983 to 1987, six consecutive children with lumbar cutaneous hemangiomas underwent magnetic resonance imaging, and a seventh had a myelogram. In all seven children, despite their normal neurologic status, tethered spinal cords were diagnosed. All children had operations, which confirmed this finding. None had postoperative neurologic deficits. Infants and children with similar lumbar cutaneous hemangiomas should have magnetic resonance scans to detect the presence of tethered spinal cords.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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1. Delphi Consensus on Diagnostic Criteria for LUMBAR Syndrome;The Journal of Pediatrics;2024-09

2. Vascular Anomalies and Other Cutaneous Congenital Defects;Avery's Diseases of the Newborn;2024

3. Congenital Malformations of the Central Nervous System;Avery's Diseases of the Newborn;2024

4. Vascular Disorders of Infancy and Childhood;Hurwitz Clinical Pediatric Dermatology;2016

5. Vascular Anomalies in Pediatrics;Surgical Clinics of North America;2012-06

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