Spinal dysraphism associated with the cutaneous lumbosacral infantile hemangioma: a neuroradiological review

Abstract

A range of spinal anomalies is associated with cutaneous lumbosacral infantile hemangiomas and MRI can be used to characterize these abnormalities.

Vascular Anomalies in Pediatrics

“…Furthermore, 50% of patients with a large lumbosacral IH have an associated intraspinal abnormality, such as tethered cord or intraspinal hemangioma [26]. Ultrasonography is used to screen infants less than 4 months of age for the presence of occult spinal dysraphism; MRI may be necessary in older children [27].…”

A Lumbosacral Hemangioma with Spinal Dysraphism

“…2 Infants with midline lumbosacral infantile hemangiomas are at an increased risk of spinal dysraphism. 3 This case demonstrates the importance of early spinal neuroimaging for patients with perineal plaque hemangiomas extending into the gluteal cleft. 3 …”

“…3 This case demonstrates the importance of early spinal neuroimaging for patients with perineal plaque hemangiomas extending into the gluteal cleft. 3 …”

Beyond infections: tumors and malformations of the diaper area

“…2 When these lesions are present in association with a segmental and minimal growth hemangioma, the LUMBAR association may be present [L (lower body hemangioma, lipoma, and other cutaneous defects) U (urogenital anomalies and ulceration) M (myelopathy) B (boney deformities) A (anorectal malformations and arterial anomalies) R (renal anomalies)]. Approximately 30% of these patients will have associated tethered cord, and early diagnosis and treatment is necessary to lessen the risk of permanent neurologic damage [3][4][5] (Fig. 1).…”