Human tail and myelomeningocele.
The human tail is rarely reported and is usually associated with underlying spina bifida occulta. A male newborn presenting a caudal appendage (human tail) with skin-covered myelomeningocele and tethered cord is described. Surgical excision of the human tail and repair of the myelomeningocele were performed 3 days after birth. After the operation, the patient had an uneventful convalescence and received follow-up at our outpatient clinic without any neurological sequelae. To our knowledge, no similar case report exists in the literature. Like other skin-related lesions in the lumbosacral area, the present case of caudal appendage with myelomeningocele is only a cutaneous sign of underlying spinal dysraphism since the skin and nerve system are related by their similar ectodermal origin. After excision of the tail and repair of an underlying lesion, long-term follow-up of the neurological status is warranted.
Lin
Pei-Jung
PJ
Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Chang
Yu-Tang
YT
Tseng
Hsing-I
HI
Lin
Jan-You
JY
Huang
Yu-Sheng
YS
D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016137:Spina Bifida Cystica / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013131:Spine / Q000002:abnormalities*