Lumbar cutaneous hemangiomas as indicators of tethered spinal cords

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 hem...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1989-06, Vol.83 (6), p.977-980
Main Authors: LELAND ALBRIGHT, A, CARLTON GARTNER, J, WIENER, E. S
Format: Article
Language:English
Subjects:
Abnormalities
Biological and medical sciences
Central nervous system
Child, Preschool
Diagnosis
Hemangioma - complications
Hemangioma - diagnosis
Hemangioma - surgery
Humans
Infant
Infant, Newborn
Lipoma - diagnosis
Lipoma - surgery
Lumbosacral Region
Magnetic Resonance Imaging
Malformations of the nervous system
Medical sciences
Myelography
Neurology
Skin Neoplasms - complications
Skin Neoplasms - diagnosis
Skin Neoplasms - surgery
Spina bifida
Spina Bifida Occulta - diagnosis
Spina Bifida Occulta - surgery
Spinal cord
Spinal Cord - abnormalities
Spinal Cord - pathology
Spinal Cord - surgery
Spinal Cord Neoplasms - diagnosis
Spinal Cord Neoplasms - surgery
Spine
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Description
Summary: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.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.83.6.977