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Coexistence of a human tail and congenital dermal sinus associated with lumbosacral lipoma

Abstract

Case report

We present a female baby with a human tail associated with congenital dermal sinus (CDS) at the caudal site of the tail. Magnetic resonance (MR) images with constructive interference in steady-state (CISS) sequencing clearly demonstrated a lumbosacral lipoma of caudal type, contiguous with the dermal sinus tract and not with the human tail. At 3 months old, the tail was surgically removed. The dermal sinus tract and contiguous lipoma were also resected, and untethering of the spinal cord was performed. Although both the human tail and CDS are frequently associated with spina bifida occulta, coexistence of the tail and CDS is exceedingly rare. CISS-MRI is useful for demonstrating the precise anatomical relationship between these complicated pathologies.

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References

  1. Ackerman LL, Menezes AH, Follett KA (2002) Cervical and thoracic dermal sinus tracts: a case series and the review of the literature. Pediatr Neurosurg 37:137–147

    PubMed  Article  Google Scholar 

  2. Belzberg AJ, Myles ST, Trevenen CL (1991) The human tail and spinal dysraphism. J Pediatr Surg 26:1243–1245

    PubMed  Article  CAS  Google Scholar 

  3. Chakrabortty S, Oi S, Yoshida Y, Yamada H, Yamaguchi M, Tamaki N, Matsumoto S (1993) Myelomeningocele and thick filum terminale with tethered cord appearing as a human tail. Case report. J Neurosurg 78:966–969

    PubMed  CAS  Article  Google Scholar 

  4. Dagcinar A, Konya D, Akakin A, Gercek A, Ozgen S, Pamir NM (2008) Congenital dermal sinus of the cervical spine in an adult. J Clin Neurosci 15:73–76

    PubMed  Article  Google Scholar 

  5. Dao AH, Netsky MG (1984) Human tails and pseudotails. Human Pathol 15:449–453

    Article  CAS  Google Scholar 

  6. Donovan DJ, Pedersen RC (2005) Human tail with noncontiguous intraspinal lipoma and spinal cord tethering: case report and embryologic discussion. Pediatr Neurosurg 41:35–40

    PubMed  Article  Google Scholar 

  7. Gönül E, Izci Y, Ongürü O, Timurkaynak E, Seber N (2000) The human tail associated with intraspinal lipoma: case report. Minim Invasive Neurosurg 43:215–218

    PubMed  Article  Google Scholar 

  8. Hashiguchi K, Morioka T, Fukui K, Miyagi Y, Mihara F, Yoshiura T, Nagata S, Sasaki T (2005) Usefulness of constructive interference in steady-state magnetic resonance imaging in the presurgical examination for lumbosacral lipoma. J Neurosurg 103(6 Suppl):537–543

    PubMed  Google Scholar 

  9. Hashiguchi K, Morioka T, Yoshida F, Miyagi Y, Mihara F, Yoshiura T, Nagata S, Sasaki T (2007) Feasibility and limitation of constructive interference in steady-state (CISS) MR imaging in neonates with lumbosacral myeloschisis. Neuroradiology 49:579–585

    PubMed  Article  Google Scholar 

  10. Lin P-J, Chang Y-T, Tseng H-I, Lin J-Y, Huang Y-S (2007) Human tail and myelomeningocele. Pediatr Neurosurg 43:334–337

    PubMed  Article  Google Scholar 

  11. Lu FL, Wang P-J, Teng R-J, Yau K-IT (1998) The human tail. Pediatr Neurol 19:230–233

    PubMed  Article  CAS  Google Scholar 

  12. Matsumoto S, Yamamoto T, Okura K (1994) Human tail associated with lipomeningocele. Case report. Neurol Med Chir (Tokyo) 34:44–47

    Article  CAS  Google Scholar 

  13. Morioka T, Hashiguchi K, Yoshida F, Nagata S, Miyagi Y, Mihara F, Sasaki T (2007) Dynamic morphological changes in lumbosacral lipoma during the first months of life revealed by constructive interference in steady-state (CISS) MR imaging. Childs Nerv Syst 23:415–420

    PubMed  Article  Google Scholar 

  14. Muthukumar N (2004) The “human tail”: a rare cause of tethered cord: a case report. Spine 29:E476–E478

    PubMed  Article  Google Scholar 

  15. Park S-H, Huh JS, Cho KH, Shin YS, Kim SH, Ahn YH, Cho KG, Yoon SH (2005) Teratoma in human tail lipoma. Pediatr Neurosurg 41:158–161

    PubMed  Article  Google Scholar 

  16. Rajpal S, Salamat MS, Tubbs RS, Kelly DR, Oakes WJ, Iskandar BJ (2007) Tethering tracts in spina bifida occulta: revisiting an established nomenclature. J Neurosurg Spine 7:315–322

    PubMed  Article  Google Scholar 

  17. van Aalst J, Beuls EAM, Cornips EMJ, Vanormelingen L, Vandersteen M, Weber JW, Vles JSH (2006) Anatomy and surgery of the infected dermal sinus of the lower spine. Childs Nerv Syst 22:1307–1315

    PubMed  Article  Google Scholar 

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Correspondence to Takato Morioka.

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Samura, K., Morioka, T., Hashiguchi, K. et al. Coexistence of a human tail and congenital dermal sinus associated with lumbosacral lipoma. Childs Nerv Syst 25, 137 (2009). https://doi.org/10.1007/s00381-008-0693-6

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  • DOI: https://doi.org/10.1007/s00381-008-0693-6

Keywords

  • Human tail
  • Congenital dermal sinus
  • Lumbosacral lipoma