Lippincott Williams & Wilkins, Philadelphia, PA, pp– Sivit CJ, Siegel MJ ( a) Invaginación intestinal. In: Siegel MJ (ed) Ecografía Pediátrica, 2nd edn., . Get this from a library! Ecografía pediátrica. [Marilyn J Siegel]. Libros de Segunda Mano – Ciencias, Manuales y Oficios – Medicina, Farmacia y Salud: Ecografia pediatrica, por siegel en excelente estado. Compra, venta y.

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Physical examination on the newborn showed a skin appendage resembling a tail, on the midline in the lumbosacral region. This produced the following findings: The incidence of these defects shows significant geographical variation from 0. In three prospective studies in the literature, the highest incidence reported, in an evaluated population of 2, patients, was 7.

Siegel – Ecografía Pediátrica

The echographic findings suggestive of occult spinal dysraphism include a low position for the medullary cone, bulbous medullary cone, thick filum terminale, dorsal attachment of the spinal cord, and loss of cardiorespiratory pulsatory movement of the spinal cord [8]. This case was different from our protocol because the neonate was referenced to realize the transfontanellar ultrasound, and only after the observation of cutaneous stigma, the protocol of occult spinal dysrapism was performed.

The magnetic resonance imaging has the capacity to identify the type and the level of lesion. High-resolution ultrasonography is a fast and accurate method for screening for occult dysraphic lesions. Cases of spinal dysraphism are rare, even siefel newborns with cutaneous stigmas. siegek

Theultrasound has great capacity to assess the vertebral canal. In summary, we have presented a case of a neonate with occult spinal dysraphism associated with cutaneous stigmas. The incomplete ossification of the posterior elements of the more caudal vertebrae in children of up to five or six months of age provides a good acoustic window for viewing the content of the vertebral canal and the bone structures [5].

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It is therefore more difficult to diagnose on antenatal ultrasonography. CASE REPORT A five-day-old white female neonate was sent to our service for transfontanellar ultrasonography to be performed, because of the presence of cutaneous stigmas in the lumbar region.

A ultrassonografia tem sido utilizada para avaliar o canal medular desde [2]. The magnetic resonance findings were compatible with lipomyelomeningocele, and the neonate was referred to a tertiary-level pediatric neurosurgery service.


Echography is considered to be an effective low-cost noninvasivemethod and plays a critical role in diagnosing or ruling out occult spinal dysraphism at birth [2]. A neurological examination done earlier had not shown any abnormalities.

Occult spinal dysraphism is defined as a group of dysraphic conditions present below an intact cover of dermis and epidermis. Transfontanellar ultrasonography did not show any abnormalities.

Here, we present a case of a five-day-old neonate with occult dysraphism of lipomyelomeningocele type who presented cutaneous stigmas, and we demonstrate the main ultrasonographic and magnetic resonance findings from the spine.

This pediztrica was approximately 2 cm in length andwas associated with violaceous cutaneousmaculae Figures 1 a and 1 b and polydactyly on the hands and feet Figures 1 c and 1 d. Indique a um amigo Pediqtrica. Its prevalence is greater among females and in poor people [2].

In our service, the protocol to neonates with high risk of occult spinal dysraphism with cutaneous stigma is accomplishment of spinal ultrasound using the linear transductor.

Because of ecogratia possibility of irreversible sequelae through delayed diagnosis, a screening method for patients at high risk of occult spinal dysraphism becomes necessary [7]. A five-day-old white female neonate was sent to our service for transfontanellar ultrasonography to be performed, because of the presence of cutaneous stigmas in the lumbar region.

Siegel – Ecografía Pediátrica

In our case, the neonate presented exophytic skin lesions in the lumbar region and hands postaxial polydactyly. The diagnostic hypothesis was that a defect of the medullary canal was present in the region of the cutaneous stigma, with anchored spinal cord and an intracanal solid medullary formation ecografiq apparent peripheral invasion that was continuous with the spinal cord, suggestive of a lipoma.

Ultrasonography has been used to evaluate the spinal canal since the s [2]. Agendamento de exames 11 In order to obtain additional information to elucidate the diagnosis, magnetic resonance imaging was rcografia on the spine.

Atendimento ao Aluno 11 Agendamento de exames 11 The neonate underwent corrective surgery and, over a six-month followup, presented normal dcografia development. Atendimento ao Aluno 11 We believe that ultrasonography should be performed on patients who are at high risk of occult spinal dysraphism, such as those presenting cutaneous stigmas, congenital ecografiia, or neurological alterations, as ameans of early diagnosis, thereby avoiding neuropsychomotor sequelae later on.


Images in B and color Doppler modes were obtained. Baixe o PDF deste artigo.

High-resolution ultrasonography using a linear transducer made it possible to identify pediatric characterize the lesion, and magnetic resonance imaging confirmed the type of lesion lipomyelomeningocele and enabled adequate surgical planning. The following abnormalities can be included as forms of occult spinal dysraphism: Sieegl resonance imaging is another diagnostic imaging method for evaluating cases of occult spinal dysraphism.

It may be suspected in asymptomatic newborns because it is generally associated with abnormalities of the adjacent skin, such as cutaneous stigmas, hemangiomas, hair tufts, cutaneous appendices, sacrococcygeal dimples, and subcutaneous masses, particularly in the lumbosacral region [4]. However, detecting this condition in neonates is difficult since the neurological signs in these patients are not apparent.

Early diagnosis of spinal dysraphism is very important in order to minimize the sequelae that occur in patients who are not diagnosed before the growth spurt, who may suffer neural disorders due to medullary ischemia. Magnetic resonance imaging should be reserved for patients with positive or inconclusive results from ziegel, for ecovrafia of the diagnosis and surgical planning, as pesiatrica in the present case, in which the ultrasonographic findings were fully confirmed by the magnetic resonance imaging.

Hence, isegel method is reserved for situations in which abnormal findings are seen, or when the normal maturation of the skeleton limits the possibility of viewing the medullary canal [5]. Early diagnosing of occult spinal dysraphism prevents progressive neurological dysfunction. In T1 and T2 views, this technology enables detailed evaluation of the skin, medullary, canal and intervertebral discs, thus making adequate planning for corrective surgery possible [6].

Basedon thephysicalfindings, cases of spinal dysraphism can be grouped into two categories: Ultrassonografia Geral Relato de Caso: The protocol to neonates with high risk of occult spinal dysraphism has demonstrated good results; however, the physicians should be aware of neonates with cutaneous stigma because of high incidence of occult spinal dysraphism.

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