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Case Reports in Medicine
Volume 2013, Article ID 468376, 4 pages
Case Report

Occult Spinal Dysraphism in the Presence of Rare Cutaneous Stigma in a Neonate: Importance of Ultrasound and Magnetic Resonance Imaging

1Teaching Center of Computed Tomography, Magnetic Resonance Imaging and Ultrasound (CETRUS), São Paulo, SP, Brazil
2Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment 113 Visage, Vila Leopoldina, São Paulo, SP, Brazil

Received 22 February 2013; Accepted 13 May 2013

Academic Editor: Jeffrey C. Wang

Copyright © 2013 Claudio Rodrigues Pires et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Occult spinal dysraphism is defined as a group of dystrophic conditions below an intact cover of dermis and epidermis. Ultrasonography using linear transducers is a fast, inexpensive, and effective method that makes it possible to view the content of the vertebral canal and bone structures. Magnetic resonance imaging (MRI) is reserved for elucidating the type of dysraphism and for planning corrective surgery. We present a case of a five-day-old female neonate who presented cutaneous stigmas (in the lumbar region, hands, and feet), in whom ultrasonography demonstrated dysraphism in the lumbar region. MRI confirmed the type of dysraphism and enabled surgical planning.