Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Cutaneous Manifestations of Spinal Dysraphism in an Adult Male - A Case Report


Affiliations
1 Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh
2 Dept. of Pathology, Govt Medical College, Anantapur, Andhra Pradesh, India
3 Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh, India
     

   Subscribe/Renew Journal


Spina bifida occulta is the mildest form of neural tube defect and often it is also called as hidden spina bifida. In other terms it is also known as Occult Spinal Dysraphisim (Occult means Hidden, Dysraphisim means Failure of embryological fusion). It is caused by incomplete closure of the embryonic neural tube. Vertebrae overlying the spinal cord are not fully formed and remain unfused and open during the embryonic life. Failure of the fusion leads to Occult Spinal dysraphisim. The present study was done on a male cadaver, who was died as the result of poisoning and had a disorder of Spina bifida occulta with cutaneous manifestations. Having a tuft of hair over lumbo sacral region is an unique form of spinal dysraphism with innocuous external appearance. Incidentally the case was diagnosed. As the case was uncommon, so it was taken for the study. All the external and internal findings were correlated with the findings of spina bifida occulta without tethered cord. The study gives the results that the impotency will not be associated in spina bifida occulta without tethered cord and having the tuft of hair is an unique feature of identification of an individual.

Keywords

Spina Bifida Occulta, Congenital Dermal Sinus, Folate Deficiency, Occult Spinal Dysraphisim (OSD), Neural Tube Defects
Subscription Login to verify subscription
User
Notifications
Font Size


  • Robert C. Tasker, Robert J. McClure, Carlo L.acerin,Oxford Handbook of Pediatrics, Ist publish, reprint 2011,176.
  • Swarna Rekha Bhat, Achar’s Text book of pediatrics, 2009, 4th edi, 498.
  • Andrew H. Kaye-Essential Neurosurgery, 2005, III rd edi, 165.
  • G.D.Clark.Neuro, clin N Am 20 , 2002, 917-939.
  • John B. Bodenstener, James F. Bale Jr, Brain and Development, Pediatric Neurology, Neurol clin N Am20 (2002) 917-939.
  • Raymond D.Adams, Maurice Victor, Allan H. Ropper, Principles of Neurology, 1998, 6th edi, 405-413.
  • R.C.G. Russell, N.S.Willams, C.J.K, Buistrode, Bailey & love’s Short practice of surgery, 2000, 23 edi, 457.
  • Vinay Kumar, ABUL K. ABBAS, NELSON FAUSTO,Robbin’s and cotran, Pathologic Basis of Disease, 2004, 7 th edi, 1354.
  • Edited by R.K. Karmakar, J.B.Mukherjee’s Forensic Medicine and Toxicology 2007, 3rd edi, 657.
  • Edited by B Subrahmanyam, Modi’s Medical Jurisprudence and Toxicology- 2001, 22nd edi, 461.
  • Goh SL, TAN JVK, K wek kyc, Yeo Gsh, Recurrent Neural tube defects, case report, Singapore Med J 2006, 47(8), 728-729.
  • Nina Johns, Wasim Ai-Salti, Phillip cox2, Mark D.Kil by-A comparative study of Prenatal Ultra sound findings and Post mortem examination in a tertiary centre, May 2004, Vol 24, 339-346.
  • CC. Michael James and L.P.Lassman,The Journal of Bone and Joint Surgery, Spinal Dysraphism, The Diagnosis and Treatment of Progressive lesions in Spina Bifida Occulta , Nov 1962, Vol 44B, No.4, 828-840.
  • Gordon Brockle hurst,Developmental Medicine &Child Neurology, April 1971, Vol 13, issue 2, 147-163.
  • SIR WILLIAM GOWERS,A case of cervical Myelopathic Trichosis, 1907, vol xc, 455-467.
  • Other link -http://www.chg.duke.edu/ diseases/ntd.html.
  • Other link - http://en.wikipedia.org/wiki/ neural_tube_defect.

Abstract Views: 285

PDF Views: 0




  • Cutaneous Manifestations of Spinal Dysraphism in an Adult Male - A Case Report

Abstract Views: 285  |  PDF Views: 0

Authors

M. Babu
Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh
T. C. Anjanamma
Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh
B. Venkateswarulu
Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh
K. P. Varalakshmi
Dept. of Pathology, Govt Medical College, Anantapur, Andhra Pradesh, India
N. Prabhakar Rao
Dept. of Forensic Medicine, Govt Medical College, Anantapur, Andhra Pradesh, India

Abstract


Spina bifida occulta is the mildest form of neural tube defect and often it is also called as hidden spina bifida. In other terms it is also known as Occult Spinal Dysraphisim (Occult means Hidden, Dysraphisim means Failure of embryological fusion). It is caused by incomplete closure of the embryonic neural tube. Vertebrae overlying the spinal cord are not fully formed and remain unfused and open during the embryonic life. Failure of the fusion leads to Occult Spinal dysraphisim. The present study was done on a male cadaver, who was died as the result of poisoning and had a disorder of Spina bifida occulta with cutaneous manifestations. Having a tuft of hair over lumbo sacral region is an unique form of spinal dysraphism with innocuous external appearance. Incidentally the case was diagnosed. As the case was uncommon, so it was taken for the study. All the external and internal findings were correlated with the findings of spina bifida occulta without tethered cord. The study gives the results that the impotency will not be associated in spina bifida occulta without tethered cord and having the tuft of hair is an unique feature of identification of an individual.

Keywords


Spina Bifida Occulta, Congenital Dermal Sinus, Folate Deficiency, Occult Spinal Dysraphisim (OSD), Neural Tube Defects

References