SECOND-TRIMESTER ULTRASONOGRAPHIC DIAGNOSIS OF SEGMENTAL VERTEBRAL ABNORMALITIES ASSOCIATED WITH NEUROLOGICAL DEFICIT: A POSSIBLE NEW VARIANT OF OCCULT SPINAL DYSRAPHISM

1996 ◽  
Vol 16 (8) ◽  
pp. 760-763 ◽  
Author(s):  
REUWEN ACHIRON ◽  
SHLOMO LIPITZ ◽  
DAN GRISARU ◽  
MARGALIT RANAN ◽  
JACOB BAR-ZIV ◽  
...  
Keyword(s):  
Neurological Deficit ◽  
Spinal Dysraphism ◽  
Second Trimester ◽  
Occult Spinal Dysraphism ◽  
Ultrasonographic Diagnosis ◽  
New Variant

scholarly journals Pseudotail with closed neural tube defect and neurogenic bladder masquerading as posterior urethral valve: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ram Jeewan Singh ◽  
Md Mokarram Ali ◽  
Amit Kumar ◽  
Rashi Rashi ◽  
Amit Kumar Sinha ◽  
...  
Keyword(s):  
Neurogenic Bladder ◽  
Neurological Deficit ◽  
Spinal Dysraphism ◽  
Posterior Urethral Valve ◽  
Occult Spinal Dysraphism ◽  
Case Presentation ◽  
Lower Back ◽  
Rare Phenomenon ◽  
Initial Procedure ◽  
Urethral Valve

Abstract Background Pseudotail with occult spinal dysraphism with neurological deficit is a rare phenomenon. Ignoring pseudotail as sign of occult spinal dysraphism may lead to catastrophe in diagnosis and further management. Case presentation We are reporting a case of a 30-month-old male child who presented with a tail-like structure at lower back and dribbling of urine since birth. On initial evaluation at some other hospital, he was misdiagnosed as posterior urethral valve and underwent fulguration of valve. However, dribbling of urine persisted after initial procedure. On evaluation at our center, he was found to have pseudotail with occult spinal dysraphism and neurogenic bladder. Conclusion Pseudotail with occult spinal dysraphism with neurological deficit is a rare phenomenon. Neurogenic bladder in such case can be misdiagnosed as posterior urethral valve. So, neurogenic bladder with pseudotail should be evaluated cautiously to avoid misdiagnosis and mismanagement.

The Incidence of Occult Spinal Dysraphism and the Onset of Neurovesical Dysfunction in Children with Anorectal Anomalies

1994 ◽  
Vol 4 (S 1) ◽  
pp. 12-14 ◽  
Author(s):  
M. De Gennaro ◽  
M. Rivosecchi ◽  
M. Lucchetti ◽  
M. Silveri ◽  
G. Fariello ◽  
...  
Keyword(s):  
Spinal Dysraphism ◽  
Occult Spinal Dysraphism ◽  
Anorectal Anomalies

Midline cutaneous lumbosacral lesions: not always a sign of occult spinal dysraphism

2006 ◽  
Vol 22 (6) ◽  
pp. 623-627 ◽  
Author(s):  
Juan F. Martínez-Lage ◽  
Belen Ferri Ñiguez ◽  
Miguel A. Pérez-Espejo ◽  
María J. Almagro ◽  
Concepción Maeztu
Keyword(s):  
Spinal Dysraphism ◽  
Occult Spinal Dysraphism

Occult Spinal Dysraphism: A Rare but Detectable Cause of Voiding Dysfunction

1980 ◽  
Vol 7 (2) ◽  
pp. 349-356
Author(s):  
James Mandell ◽  
Stuart B. Bauer ◽  
Mark Hallett ◽  
Shahram Khoshbin ◽  
Frances M. Dyro ◽  
...  
Keyword(s):  
Voiding Dysfunction ◽  
Spinal Dysraphism ◽  
Occult Spinal Dysraphism

Cutaneous stigmata of occult spinal dysraphism

1994 ◽  
Vol 31 (5) ◽  
pp. 892-896 ◽  
Author(s):  
David A. Davis ◽  
Philip R. Cohen ◽  
Richard E. George
Keyword(s):  
Spinal Dysraphism ◽  
Occult Spinal Dysraphism

scholarly journals Occult Spinal Dysraphism: A Challenge in Pain Management

2015 ◽  
Vol 2;18 (2;3) ◽  
pp. E225-E228
Author(s):  
Frederic J Gerges
Keyword(s):  
Pain Management ◽  
Spina Bifida ◽  
Spinal Dysraphism ◽  
Lumbar Radiculopathy ◽  
Occult Spinal Dysraphism ◽  
Case Scenario ◽  
Vascular Abnormalities ◽  
The Central Nervous System ◽  
Radicular Symptoms ◽  
Clinical Dilemma

Spina bifida is a common birth defect affecting the central nervous system and represents a group of neural tube defects caused by congenital dysraphic malformations of the vertebral column and/or spinal cord. The anatomy in these patients is challenging and includes structural and vascular abnormalities including arteriovenous malformation or fistulae, and fatty substitution of paravertebral tissues. A magnetic resonance image (MRI) is needed for management of patients with lumbar radiculopathy and clinical features suspicious of occult spinal dysraphism. Risks and benefits of lumbar epidural steroids should be discussed comprehensively with those patients and in the best case scenario be avoided. Occult spinal dysraphism poses a clinical dilemma for interventional pain specialists managing those patients with lumbar radiculopathy. We report a case of occult spinal dysraphism discovered following the development of post-traumatic radicular symptoms. Key words: Occult spinal dysraphism, spina bifida, lumbar radiculopathy, pain, pain management, physical findings

scholarly journals Spinal lipomas: clinical spectrum, embryology, and treatment

2007 ◽  
Vol 23 (2) ◽  
pp. 1-12 ◽  
Author(s):  
Michael A. Finn ◽  
Marion L. Walker
Keyword(s):  
Surgical Treatment ◽  
Clinical Presentation ◽  
Wide Spectrum ◽  
Spinal Dysraphism ◽  
Treatment Options ◽  
Conus Medullaris ◽  
Clinical Spectrum ◽  
Pathological Features ◽  
Occult Spinal Dysraphism ◽  
Pathological Mechanism

✓Spinal lipomas, particularly lipomas of the conus medullaris and terminal filum, are the most common form of occult spinal dysraphism and represent a wide spectrum of disease with regard to anatomy, clinical presentation, and treatment options. These lesions, however, are united by a similar embryology and pathological mechanism by which symptoms arise. Recently, the treatment of these lesions has generated much controversy, with some physicians advocating surgical treatment for all patients regardless of symptoms and others proposing that surgery be withheld until symptoms develop. The authors discuss lumbosacral spinal lipomas, with particular attention to the theories of their origin, anatomical and pathological features, and treatment options, including a review of current controversies.

Lumbosacral skin markers and identification of occult spinal dysraphism in neonates

1995 ◽  
Vol 84 (2) ◽  
pp. 208-209 ◽  
Author(s):  
PJ Gibson ◽  
J Britton ◽  
DMB Hall ◽  
C Rowland Hill
Keyword(s):  
Spinal Dysraphism ◽  
Occult Spinal Dysraphism

Occult Spinal Dysraphism: A Series of 73 Cases

PEDIATRICS ◽  
1975 ◽  
Vol 55 (6) ◽  
pp. 826-835 ◽  
Author(s):  
Frank M. Anderson
Keyword(s):  
Distal Part ◽  
Spinal Dysraphism ◽  
Clinical Manifestations ◽  
Dermal Sinus ◽  
Loss Of Function ◽  
Occult Spinal Dysraphism ◽  
Neural Tissues ◽  
The Subject ◽  
The Many ◽  
Developmental Variants

The subject of occult spinal dysraphism or myelodysplasia is reviewed from standpoints of embryology, clinical manifestations, and treatment, and the management of 73 cases summarized. In general, these concealed lesions arise from developmental variants in the most distal part of the neural tube, a situation which may cause distortion or partial absence of neural tissues and also lead to damage from compression or traction. Lipomyelomeningocele and congenital dermal sinus are two examples of the many types of such lesions, but some are more complicated, and borderline myelomeningocele-like forms occur. Incontinence, deformity or weakness of the feet, impaired gait, and other difficulties may appear late and increase with growth. Surgical treatment is advised to reduce chances of delayed or progressive loss of function.

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