Early clinical signs and symptoms in occult spinal dysraphism: a retrospective case study of 47 patients

Since occult spinal dysraphism can lead to irreversible neurological complications, early diagnosis and treatment are necessary. We retrospectively studied the presenting clinical signs and symptoms in all 47 cases of occult spinal dysraphism identified in two university hospitals in The Netherlands...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 1999-03, Vol.101 (1), p.11-14
Main Authors: Soonawala, N., Overweg-Plandsoen, W.C.G., Brouwer, O.F.
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Biological and medical sciences
Child
Child, Preschool
Diagnosis
Diagnosis, Differential
Female
Humans
Infant
Infant, Newborn
Magnetic Resonance Imaging
Male
Malformations of the nervous system
Medical sciences
Meningomyelocele - diagnosis
Neurology
Occult spinal dysraphism
Retrospective Studies
Spina Bifida Occulta - diagnosis
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Summary:Since occult spinal dysraphism can lead to irreversible neurological complications, early diagnosis and treatment are necessary. We retrospectively studied the presenting clinical signs and symptoms in all 47 cases of occult spinal dysraphism identified in two university hospitals in The Netherlands since 1965. Dermal sinus had been diagnosed in 12, lipomyelomeningocele in nine, and diastematomyelia in eight patients. Thirty-three patients had symptoms due to tethering of the spinal cord, leading to a clinical suspicion of occult spinal dysraphism in only eight cases. Twenty-eight patients had cutaneous back lesions that led to further investigation in eight cases. Nineteen patients had a small backmass leading to further examination in 13 cases. Three patients with dermal sinus presented with meningitis caused by an unusual aetiological agent. This study stresses the importance of identification of neurological dysfunction due to tethered cord syndrome, cutaneous back lesions, a small backmass and meningitis caused by an unusual aetiological agent for the early diagnosis of occult spinal dysraphism.
ISSN:0303-8467
1872-6968
DOI:10.1016/S0303-8467(98)00073-0