Lippincott Williams & Wilkins, Philadelphia, PA, pp– Sivit CJ, Siegel MJ ( a) Invaginación intestinal. In: Siegel MJ (ed) Ecografía Pediátrica, 2nd edn., . Get this from a library! Ecografía pediátrica. [Marilyn J Siegel]. Libros de Segunda Mano – Ciencias, Manuales y Oficios – Medicina, Farmacia y Salud: Ecografia pediatrica, por siegel en excelente estado. Compra, venta y.

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Siegel – Ecografía Pediátrica

The following abnormalities can be included as forms of occult spinal dysraphism: R e pela S. The echographic findings suggestive of occult spinal dysraphism include a low position for the medullary cone, bulbous medullary cone, thick filum terminale, dorsal attachment of the spinal cord, and loss of cardiorespiratory fcografia movement of the spinal cord [8].

The neonate underwent corrective surgery and, over a six-month followup, presented normal neuropsychomotor development. Transfontanellar ultrasonography did not show any abnormalities.

Its prevalence is greater among females and in poor people [2]. This feature was approximately 2 cm in length andwas associated with violaceous cutaneousmaculae Figures 1 a and 1 b and polydactyly on the hands and feet Figures 1 c and 1 d. In three prospective studies in the literature, the highest incidence reported, in an evaluated population of 2, patients, was 7. In order to obtain additional information to elucidate the diagnosis, magnetic resonance imaging was performed on the spine.

Agendamento de exames 11 Ultrasonography has been used to evaluate the spinal canal since the s [2]. This produced the following findings: Echography is considered to be an effective low-cost noninvasivemethod and plays a critical role in diagnosing or ruling out occult spinal dysraphism at birth [2].

Baixe o PDF deste artigo. This case was different from our protocol because the neonate was referenced to realize the transfontanellar ultrasound, and only after the observation slegel cutaneous stigma, the protocol sjegel occult spinal dysrapism was performed.

Siegel – Ecografía Pediátrica

Of these, only 5. Because of the possibility of irreversible peiatrica through delayed diagnosis, a screening method for patients at high risk of occult spinal dysraphism becomes necessary [7]. Hence, this method is reserved for situations in which abnormal findings are seen, or when the normal maturation of the skeleton limits the possibility of viewing the medullary canal [5].


Images in B and color Doppler modes were obtained. Magnetic resonance imaging should be reserved for patients with ecograffia or inconclusive results from ultrasonography, for confirmation of the diagnosis and surgical planning, as reported in the present case, in which the ultrasonographic findings were fully confirmed by the magnetic resonance imaging. Some stigmas have been proven to present greater risk of occult spinal dysraphism, such as deep or atypical sacrococcygeal dimples, hemangiomas, cutaneous aplasia, subcutaneous masses, and exophytic skin lesions such as tails and hair tufts.

In our case, the neonate presented exophytic skin lesions in the lumbar region and hands postaxial pediatica.

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Lipomyelomeningocele is a form of spinal dysraphism in which the lipoma invades the dural sac, and it may envolve the nerve roots and medullary cone [1]. However, detecting this condition in neonates is difficult since the neurological peditrica in these patients are not apparent.

The incidence of these defects shows significant geographical variation from 0. It may be suspected in asymptomatic newborns because it is generally associated with abnormalities of the adjacent skin, such as cutaneous stigmas, hemangiomas, hair tufts, cutaneous appendices, sacrococcygeal dimples, and subcutaneous masses, particularly in the lumbosacral region [4]. Cases of spinal dysraphism are rare, even siebel newborns with cutaneous stigmas.

Cases of multiple stigmas comprise another group at risk [7]. Ecografka diagnosing of occult spinal dysraphism prevents progressive neurological dysfunction.

Ecografía pediátrica – Marilyn J. Siegel – Google Books

A neurological examination done earlier had not shown any abnormalities. Ultrassonografia Geral Relato de Caso: In T1 and T2 views, this technology enables detailed evaluation of the skin, medullary, canal and intervertebral discs, thus making adequate planning for corrective surgery possible [6].

Sweeps in longitudinal and transverse planes were performed, with the aims of making a detailed pediatrca of the contiguity of the anatomical features with themedullary canal: The magnetic resonance imaging has pddiatrica capacity to identify the type and the level of lesion. A five-day-old white female neonate was sent to our service for transfontanellar ultrasonography to be performed, because of the presence of cutaneous stigmas in the lumbar region.

The protocol to neonates with high risk of occult spinal dysraphism has demonstrated good results; however, the physicians should be aware of neonates with cutaneous stigma because of high incidence of occult spinal dysraphism. Here, we present a case of a five-day-old neonate with occult dysraphism of lipomyelomeningocele type who presented cutaneous stigmas, and we demonstrate the main ultrasonographic and magnetic resonance findings from the spine.


Atendimento ao Aluno 11 It is therefore more difficult to diagnose on antenatal ultrasonography. High-resolution ultrasonography ;ediatrica a fast and accurate method pedlatrica screening for occult dysraphic lesions.

Early diagnosis of spinal dysraphism is very important in order to minimize the sequelae that occur in patients who are not diagnosed before the growth spurt, who may suffer neural disorders due to medullary ischemia. We believe that ultrasonography should be performed on patients who are at high risk of occult spinal dysraphism, such as those presenting cutaneous stigmas, pedaitrica abnormalities, or neurological alterations, as ameans of early diagnosis, thereby avoiding neuropsychomotor pediatica later on.

Indique a um amigo Imprimir. In our service, the protocol to neonates with high risk of occult spinal dysraphism with cutaneous stigma peditrica accomplishment of spinal ultrasound using the linear transductor. Theultrasound has great capacity to assess the vertebral canal.

Physical examination on the newborn showed a skin appendage resembling a tail, on the midline in the lumbosacral region.

Ultrasonography is a fast, safe, noninvasive, and low-cost method, and it also presents good correspondence with the findings from magnetic resonance imaging. CASE REPORT A five-day-old white female neonate was sent to our service for transfontanellar ultrasonography to be performed, because of the presence of cutaneous stigmas in the lumbar region.

The diagnostic hypothesis was that a defect of the medullary canal was present in the region of the cutaneous stigma, with anchored spinal cord and an intracanal solid medullary formation with apparent peripheral invasion that was continuous with the spinal cord, suggestive of a lipoma. Occult spinal dysraphism is defined as a group ecogfafia dysraphic conditions xiegel below an intact cover of dermis and epidermis.