title: Acute flaccid paralysis in a patient with sacral dimple.
abstract: Sacral dimples are the most common cutaneous anomaly detected during neonatal spinal examination. Congenital dermal sinus tract, a rare type of spinal dysraphism, occurs along the midline neuraxis from occiput down to the sacral region. It is often diagnosed in the presence of a sacral dimple together with skin signs, local infection, meningitis, abscess, or abnormal neurological examination. We report a case of acute flaccid paralysis with sensory level in a 4 mo old female infant with sacral dimple, diagnosed by magnetic resonance imaging to be a paraspinal subdural abscess. Surgical exploration revealed a congenital dermal sinus tract extending from the subdural abscess down to the sacral dimple and open to the exterior with a minute opening.
authors.affiliation: Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children's Hospital, Mansoura 35516, Egypt.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Mostafa
authors.affiliation: Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children's Hospital, Mansoura 35516, Egypt.
authors.forename: Nehad
authors.initials: N
authors.lastname: Nasef
authors.affiliation: Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children's Hospital, Mansoura 35516, Egypt.
authors.forename: Tarik
authors.initials: T
authors.lastname: Barakat
authors.affiliation: Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children's Hospital, Mansoura 35516, Egypt.
authors.forename: Amany K
authors.initials: AK
authors.lastname: El-Hawary
authors.affiliation: Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children's Hospital, Mansoura 35516, Egypt.
authors.forename: Hesham
authors.initials: H
authors.lastname: Abdel-Hady
keywords: Paralysis; Paraplegia; Spinal cord compression; Spinal dysraphism; Spinal epidural abscess