Hall D E, Udvarhelyi G B, Altman J
JAMA. 1981 Dec 4;246(22):2606-8.
Early treatment of occult spinal dysraphism may prevent progressive neurological deficits. However, diagnosis is often delayed until the onset of irreversible neurological damage. A review of data from the literature and patients at Johns Hopkins Hospital suggests that lumbosacral skin abnormalities such as tufts of hair, hemangiomas, lipomas, skin tags, or pigmented nevi should alert the physician to search for occult spinal dysraphism. In the asymptomatic patient with a skin lesion, roentgenography of the lumbosacral spine is a useful screening procedure for identifying treatable underlying problems.
隐匿性脊柱裂的早期治疗可能会预防进行性神经功能缺损。然而，诊断往往会延迟到出现不可逆的神经损伤时才做出。对文献数据和约翰霍普金斯医院患者的回顾表明，腰骶部皮肤异常，如毛发丛、血管瘤、脂肪瘤、皮赘或色素痣，应提醒医生寻找隐匿性脊柱裂。对于有皮肤病变的无症状患者，腰骶部脊柱的X线检查是识别可治疗的潜在问题的有用筛查方法。
