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

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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.

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Authors and Affiliations

  1. Departments of Dermatology and Pediatrics, Children’s Hospital of Wisconsin, Medical College of Wisconsin, P. O. Box 1997, Milwaukee, WI, 53201-1997, USA

    Wendy E. Schumacher & Beth A. Drolet

  2. Department of Pediatric Radiology, Children’s Hospital of Wisconsin, Milwaukee, WI, USA

    Mohit Maheshwari & Craig M. Johnson

  3. Section of Dermatology, Children’s Mercy Hospital and Clinics, Kansas City, MO, USA

    Kimberly A. Horii, Amy J. Nopper & Brandon D. Newell

  4. Department of Dermatology, Baylor College of Medicine, Houston, TX, USA

    Denise W. Metry

  5. Departments of Dermatology and Pediatrics, Columbia University, New York, NY, USA

    Maria C. Garzon & Kimberly D. Morel

  6. Departments of Pediatrics and Dermatology, Children’s Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Sarah L. Chamlin & Anthony J. Mancini

  7. Department of Dermatology, University of California at San Francisco, San Francisco, CA, USA

    Ilona J. Frieden

Authors
  1. Wendy E. Schumacher
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  2. Beth A. Drolet
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  3. Mohit Maheshwari
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  4. Kimberly A. Horii
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  5. Amy J. Nopper
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  6. Brandon D. Newell
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  7. Denise W. Metry
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  8. Maria C. Garzon
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  9. Kimberly D. Morel
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  10. Sarah L. Chamlin
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  11. Anthony J. Mancini
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  12. Ilona J. Frieden
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  13. Craig M. Johnson
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Corresponding author

Correspondence to Wendy E. Schumacher.

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Schumacher, W.E., Drolet, B.A., Maheshwari, M. et al. Spinal dysraphism associated with the cutaneous lumbosacral infantile hemangioma: a neuroradiological review. Pediatr Radiol 42, 315–320 (2012). https://doi.org/10.1007/s00247-011-2262-5

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  • DOI: https://doi.org/10.1007/s00247-011-2262-5

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