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.
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Soft tissue lipoma
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Occult spina
bifida with normal skin and no soft tissue mass.
The normal posterior fossa excludes an
Arnold Chiari II defect
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