Spinal dysraphism associated with the cutaneous lumbosacral infantile hemangioma: UA 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

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

25 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)315-320
Number of pages6
JournalPediatric radiology
Volume42
Issue number3
DOIs
StatePublished - Mar 2012

Keywords

  • Children
  • Hemangioma
  • Spinal dysraphism

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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