Mohindra Sandeep, Batish Aman, Patil Ninad Ramesh, Tripathi Manjul
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Childs Nerv Syst. 2021 Jan;37(1):325-328. doi: 10.1007/s00381-020-04616-4. Epub 2020 Apr 23.
Spinal dysraphic anomalies may be hidden beneath grotesque cutaneous stigmata, like a fully developed accessory lower limb.
Authors describe a 4-year-old boy who had socially unacceptable malformation in form of an accessory lower limb, in addition to perfectly normal both lower limbs with underlying low-lying tethered cord. Radiological studies showed underlying tethered cord and dysraphic spinal column.
Successful surgical correction was undertaken along with detethering of cord. The present case asks for evaluation of all cutaneous stigmata over spinal regions in newborns for spinal dysraphic states.
脊柱发育异常可能隐藏在怪异的皮肤胎记之下，比如一个发育完全的下肢附件。
作者描述了一名4岁男孩，除了双下肢完全正常但存在低位脊髓栓系外，还有一个在社交上不可接受的下肢附件畸形。影像学研究显示存在脊髓栓系和脊柱发育异常。
成功进行了手术矫正并松解了脊髓栓系。本病例提示应对新生儿脊柱区域的所有皮肤胎记进行评估，以排查脊柱发育异常情况。
