Pediatric Radiology

, Volume 42, Issue 3, pp 315–320

Spinal dysraphism associated with the cutaneous lumbosacral infantile hemangioma: a neuroradiological review

  • Wendy E. Schumacher
  • Beth A. Drolet
  • Mohit Maheshwari
  • Kimberly A. Horii
  • Amy J. Nopper
  • Brandon D. Newell
  • Denise W. Metry
  • Maria C. Garzon
  • Kimberly D. Morel
  • Sarah L. Chamlin
  • Anthony J. Mancini
  • Ilona J. Frieden
  • Craig M. Johnson
Original Article

DOI: 10.1007/s00247-011-2262-5

Cite this article as:
Schumacher, W.E., Drolet, B.A., Maheshwari, M. et al. Pediatr Radiol (2012) 42: 315. doi:10.1007/s00247-011-2262-5

Abstract

Background

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.

Objective

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.

Materials and methods

The radiological images of 20 cases of lumbosacral infantile hemangioma associated with spinal dysraphism were reviewed.

Results

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.

Conclusion

A range of spinal anomalies is associated with cutaneous lumbosacral infantile hemangiomas and MRI can be used to characterize these abnormalities.

Keywords

Spinal dysraphismHemangiomaChildren

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Wendy E. Schumacher
    • 1
  • Beth A. Drolet
    • 1
  • Mohit Maheshwari
    • 2
  • Kimberly A. Horii
    • 3
  • Amy J. Nopper
    • 3
  • Brandon D. Newell
    • 3
  • Denise W. Metry
    • 4
  • Maria C. Garzon
    • 5
  • Kimberly D. Morel
    • 5
  • Sarah L. Chamlin
    • 6
  • Anthony J. Mancini
    • 6
  • Ilona J. Frieden
    • 7
  • Craig M. Johnson
    • 2
  1. 1.Departments of Dermatology and PediatricsChildren’s Hospital of Wisconsin, Medical College of WisconsinMilwaukeeUSA
  2. 2.Department of Pediatric RadiologyChildren’s Hospital of WisconsinMilwaukeeUSA
  3. 3.Section of DermatologyChildren’s Mercy Hospital and ClinicsKansas CityUSA
  4. 4.Department of DermatologyBaylor College of MedicineHoustonUSA
  5. 5.Departments of Dermatology and PediatricsColumbia UniversityNew YorkUSA
  6. 6.Departments of Pediatrics and Dermatology, Children’s Memorial HospitalFeinberg School of Medicine, Northwestern UniversityChicagoUSA
  7. 7.Department of DermatologyUniversity of California at San FranciscoSan FranciscoUSA