OCCULT SPINAL DYSRAPHISM  

Occult spinal dysraphism represents a spectrum of anomalies that all result in an abnormal attachment of the conus to neighboring structures.

  • The conus may be elongated by a variety of anomalies of the spinal cord including:
    • Spinal lipoma.
    • Lipomeningocele.
    • Diastematomyelia.
    • Dorsal dermal sinus.
    • Split notocord syndrome.
  • There is no associated fetal hydrocephalus.
  • Postnatally there may be:
    • Cutaneous or subcutaneous anomalies such as an angioma, lipoma, pigmented nevus, a tuft of hair or skin dimple that demarcates the site and level of the vertebral lesion.

 

Soft tissue lipoma

Occult spina bifida with normal skin and no soft tissue mass.

The normal posterior fossa excludes an

Arnold Chiari II defect