Singh Deepak Kumar, Kumar Basant, Sinha V D, Bagaria H R
Department of Neurosurgery, S.M.S. Medical College, Jaipur, Rajasthan 302004, India.
J Pediatr Surg. 2008 Sep;43(9):e41-3. doi: 10.1016/j.jpedsurg.2008.04.030.
Human tail or tail-like caudal cutaneous appendage is a rare fingerlike, midline protrusion at the lumbosacrococcygeal region, often associated with occult spinal dysraphism. A 2-month-old male child presented here had a lumbosacral tail-like appendage with underlying spinal dysraphism without any appreciable neurological deficit. In contradiction to a previous report, true vestigial tails are not benign because they may be associated with underlying dysraphic state. About 50% of the cases were associated with either meningocele or spina bifida occulta. Management of such lesions must include complete neurological history and examination as well as magnetic resonance or computed tomographic imaging. After diagnosis, microsurgery should be performed if there is any intraspinal component to avoid any damage and neurological deficit.
人类尾巴或尾状尾部皮肤附属器是一种罕见的手指状、位于腰骶尾区域的中线突出物，常与隐性脊柱裂相关。此处报告的一名2个月大男童有一个腰骶部尾状附属器，伴有潜在的脊柱裂，但无明显神经功能缺损。与之前的一份报告相反，真正的退化尾并非良性，因为它们可能与潜在的脊柱裂状态相关。约50%的病例与脊膜膨出或隐性脊柱裂有关。对此类病变的处理必须包括完整的神经病史和检查以及磁共振成像或计算机断层扫描成像。诊断后，如果存在任何椎管内成分，应进行显微手术以避免任何损伤和神经功能缺损。
