PEDIATRICS Vol. 83 No. 6 June 1989, pp. 977-980
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Lumbar Cutaneous Hemangiomas as Indicators of Tethered Spinal Cords

A. Leland Albright MD1, J. Carlton Gartner MD1, and Eugene S. Wiener MD1

1 The Children's Hospital of Pittsburgh and the University of Pittsburgh School of Medicine, Pittsburgh

Children with cutaneous hemangiomas in the lumbar region often also have tethered spinal cords. This diagnosis can be overlooked, because children with cutaneous hemangiomas may be otherwise asymptomatic and neurologically normal. From 1983 to 1987, six consecutive children with lumbar cutaneous hemangiomas underwent magnetic resonance imaging, and a seventh had a myelogram. In all seven children, despite their normal neurologic status, tethered spinal cords were diagnosed. All children had operations, which confirmed this finding. None had postoperative neurologic deficits. Infants and children with similar lumbar cutaneous hemangiomas should have magnetic resonance scans to detect the presence of tethered spinal cords.

Key Words: hemangioma • tethered spinal cord

Submitted on May 20, 1988
Accepted on July 7, 1988




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