Department of Dermatology, Children's Hospital of Wisconsin, Medical College of Wisconsin, P. O. Box 1997, Milwaukee, WI 53201-1997, USA.
Pediatr Radiol. 2012 Mar;42(3):315-20. doi: 10.1007/s00247-011-2262-5. Epub 2011 Dec 4.
Spinal dysraphism is suspected in patients with midline abnormalities, especially in those with lumbosacral cutaneous markings. A recent prospective study demonstrated that isolated cutaneous infantile hemangiomas (IH) of the lumbosacral region have one of the highest risks (relative risk of 438) of associated spinal dysraphism.
The specific types of dysraphism and radiological findings associated with cutaneous IH of the lumbosacral region have not been described in detail, to the best of our knowledge. The aim of this multicenter study is to retrospectively classify types of spinal anomalies associated with the cutaneous lumbosacral IH.
The radiological images of 20 cases of lumbosacral infantile hemangioma associated with spinal dysraphism were reviewed.
Tethered cord was found in 60% of the 20 cases, spinal lipoma was present in 50% and 45% had intraspinal hemangiomas. Sinus tract was found in 40% of the children.
A range of spinal anomalies is associated with cutaneous lumbosacral infantile hemangiomas and MRI can be used to characterize these abnormalities.
中线异常的患者疑似存在脊柱发育不良，尤其是腰骶部皮肤标记异常的患者。最近一项前瞻性研究表明，孤立性腰骶部皮肤婴幼儿血管瘤（IH）具有最高的相关脊柱发育不良风险（相对风险 438）之一。
据我们所知，目前尚未详细描述与腰骶部皮肤 IH 相关的特定类型的脊柱发育不良和放射学发现。本多中心研究的目的是回顾性分类与腰骶部皮肤 IH 相关的脊柱异常类型。
回顾了 20 例腰骶部婴幼儿血管瘤伴脊柱发育不良的放射影像学图像。
60%的 20 例患者存在脊髓栓系，50%的患者存在脊髓脂肪瘤，45%的患者存在脊髓内血管瘤。40%的患儿存在窦道。
一系列的脊柱异常与腰骶部皮肤婴幼儿血管瘤相关，磁共振成像（MRI）可用于描述这些异常。
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