[Faun tail and sacral hemangioma associated with occult spinal dysraphism].
BACKGROUND
Hemangiomas are the most frequent skin tumor of childhood. Usually, a "wait and see" policy is adopted. However, a sacral hemangioma may reveal occult neurodysraphism.


METHODS
MRI discovered lipomyelomeningocele and a tethered spinal chord in an asymptomatic 4-month-old boy with sacral hemangioma and faun tail. Because of absence of neurological defect only surgery of the caudal appendage was performed for the moment.


CONCLUSIONS
Midline lombosacral lesions, as well as lipomas, hirsutism or pilonidal cyst, may be associated with occult spinal defect; the most severe is tethered chord. Renal or ano-genital anomalies can be also associated.


CONCLUSIONS
MRI is necessary in case of midline sacral hemangioma to detect underlying anomalies.
Laurent
I
I
Unité de Dermatologie Pédiatrique, Hŏpital Pellegrin-Enfants, Bordeaux.
Léauté-Labrèze
C
C
Maleville
J
J
Taïeb
A
A
D006391:Hemangioma / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D012445:Sacrococcygeal Region; D012871:Skin Diseases / Q000209:etiology*; D012878:Skin Neoplasms / Q000209:etiology; D016136:Spina Bifida Occulta / Q000150:complications*