关键词: Aplasie cutanée Appendice caudal Capillary malformation Cephalocele Collier de cheveux Cutaneous aplasia Céphalocèle Dermoid cyst Dermoid fistula Dysraphie Dysraphism Fistule dermoïde Fossette sacrococcygienne Hair collar sign Hair tuft Human tail Hypertrichose Hypertrichosis Hémangiome infantile Hétérotopie neurogliale Infantile haemangioma Kyste dermoïde Lipoma Lipomes Malformation capillaire Moelle bas attachée Neuroglial heterotopia Sacrococcygeal dimple Tethered cord Touffe de cheveux

Mesh : Abnormalities, Multiple / diagnosis Humans Infant, Newborn Neural Tube Defects / complications diagnosis Skin Abnormalities / complications diagnosis

来  源:   DOI:10.1016/j.annder.2020.02.011   PDF(Sci-hub)

Abstract:
Dysraphism refers to neural tube closure abnormalities and midline closure abnormalities of the skin, paravertebral muscles, vertebrae and meninges. Cranial dysraphism (CD) and occult spinal dysraphism (OSD) may be discovered via evocative skin signs present at birth or appearing later in childhood or even in adulthood. This review describes the various types of skin signs associated with CD and OSD. All congenital midline skin lesions, particularly on the frontonasal area, the vertex or the occipitocervical and low back regions, should prompt suspicion of underlying dysraphism. The main evocative midline skin abnormalities are: (i) for underlying DCEO: a nodule, swelling, skin openings and hair collar sign or hair tuft; (ii) for underlying DSO, localized hypertrichosis, an atypical or complex lower back dimple, a dermoid fistula, infantile haemangioma, caudal appendage and lipoma. In the event of suspected DCEO or DSO, spinal or medullary MRI constitutes the reference examination.
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