Vol. 21 - Num. 84
aMIR-Pediatría. Hospital General La Mancha Centro. Alcázar de San Juan. Ciudad Real. España.
bServicio de Pediatría. Hospital General La Mancha Centro. Alcázar de San Juan. Ciudad Real. España.
cMIR-Pediatría. Complejo Hospitalario La Mancha Centro. Alcázar de San Juan. Ciudad Real. España.
dServicio de Ginecología y Obstetricia. Hospital General La Mancha Centro. Alcázar de San Juan. Ciudad Real. España.
Reference of this article: Resa Serrano E, González Jimeno A, Belmonte Pintre Z, Torres Torres MC, Muñoz Serrano A, Violero Plaza A. Occipital skin dimple in a new-born girl. Rev Pediatr Aten Primaria. 2019;21:393-6.
Published in Internet: 25-11-2019 - Visits: 1154
The dermal sinus is a congenital neural tube closure defect that occurs between the 3rd -4th week of gestation. It is a variety of dysraphism that allows a potential communication between the skin and the central nervous system. It often is located in the posterior midline, from occipital to lumbosacral region, the occipital location is the second most frequent. The clinic is very variable, from asymptomatic patients to development of meningitis or abscesses due to a communication with the central nervous system as the first clinical manifestation. Magnetic resonance imaging is the most appropriate diagnostic imaging test, it allows to determine the lenght of the fistulous path and rule out injuries at other levels. Total prophylactic surgical excision is recommended in all cases. We present a case of a newborn with a skin dimple in occipital region visualized in the first physical examination.
Keywords● Dermal sinus ● Meningitis ● Skin dimple ● Skin diseases ● Spina bifida occulta ● Spinal dysraphism
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