Acute flaccid paralysis in a patient with sacral dimple

作     者：Mohammed Mostafa Nehad Nasef Tarik Barakat Amany K El-Hawary Hesham Abdel-Hady 

作者机构：Faculty of MedicineMansoura University Children’s Hospital Department of PediatricsFaculty of MedicineUniversity of Mansoura 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2013年第2卷第3期

页      面：26-30页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Paralysis Paraplegia Spinal dysraphism Spinal cord compression Spinal epidural abscess 

摘      要：Sacral dimples are the most common cutaneous anomaly detected during neonatal spinal examination. Congenital dermal sinus tract, a rare type of spinal dysraphism, occurs along the midline neuraxis from occiput down to the sacral region. It is often diagnosed in the presence of a sacral dimple together with skin signs, local infection, meningitis, abscess, or abnormal neurological examination. We report a case of acute flaccid paralysis with sensory level in a 4 mo old female infant with sacral dimple, diagnosed by magnetic resonance imaging to be a paraspinal subdural abscess. Surgical exploration revealed a congenital dermal sinus tract extending from the subdural abscess down to the sacral dimple and open to the exterior with a minute opening.