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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 40 - 47 (8page)
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초록· 키워드
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Purpose: Sacral cutaneous lesions, such as dimples and hairy patches, may be associatedwith occult spinal dysraphism and urogenital abnormalities. This study aim to delineate high risk infants who need early screening for intraspinal and urogenital abnormalities by identifying the association between cutaneous lesions and combinedabnormalities.
Methods: Sacral ultrasonography was performed in 777 infants with sacral cutaneouslesions from January 2010 to July 2014. Of these, 317 infants underwent abdominalultrasonography for urogenital abnormalities. We reviewed the patient's medical records and radiographic findings retrospectively.
Results: Of the 777 infants, abnormal intraspinal findings such as tethered cord or meningocele were reported in 26 (3.4%). Sixteen of these 26 patients with abnormal findings underwent follow-up ultrasonography or MRI; 4 infants were diagnosed with lipomeningomyelocele through MRI, and 1 infant underwent a neurosurgical procedure. Among the 317 infants who underwent abdominal ultrasonography, 78 infants (24.6%) had congenital hydronephrosis and 8 infants (2.5%) had other urogenitalabnormalities including duplication of kidney, vesicoureteral reflux, horseshoekidney, renal cyst, or multicystic dysplastic kidney. Urogenital abnormalitieswere more common in patients with sacral dimples associated with hair or deviated gluteal folds than in those with simple dimples (OR 3.24 and 8.88; P=0.007 and P=0.001, respectively).
Conclusion: Midline sacral cutaneous lesions may be associated with occult spinal dysraphism and urogenital abnormalities. To detect intraspinal lesions, ultrasonographyis recommended for infants with sacral cutaneous lesions. Likewise, infants with sacral dimples associated with either hair or deviated gluteal folds, should be evaluated via abdominal ultrasonography to assess for combined urogenital abnormalities.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Amarante MA / 2012 / Management of urological dysfunction in pediatric patients with spinal dysraphism: review of the literature / Neurosurg Focus 33 : E4 ~
Ben-Sira L / 2009 / Low-risk lumbar skin stigmata in infants: the role of ultrasound screening / J Pediatr 155 : 864 ~ 869
Cornette L / 1998 / Closed spinal dysraphism: a review on diagnosis and treatment in infancy / Eur J Paediatr Neurol 2 : 179 ~ 185
Gibson PJ / 1995 / Lumbosacral skin markers and identification of occult spinal dysraphism in neonates / Acta Paediatr 84 : 208 ~ 209
Guggisberg D / 2004 / Skin markers of occult spinal dysraphism in children: a review of 54 cases / Arch Dermatol 140 : 1109 ~ 1115
Ben-Sira L / 2009 / Low-risk lumbar skin stigmata in infants: the role of ultrasound screening / J Pediatr 155 : 864 ~ 869
Cornette L / 1998 / Closed spinal dysraphism: a review on diagnosis and treatment in infancy / Eur J Paediatr Neurol 2 : 179 ~ 185
Gibson PJ / 1995 / Lumbosacral skin markers and identification of occult spinal dysraphism in neonates / Acta Paediatr 84 : 208 ~ 209
Guggisberg D / 2004 / Skin markers of occult spinal dysraphism in children: a review of 54 cases / Arch Dermatol 140 : 1109 ~ 1115
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