Role of Magnetic Resonance Image in Children with Lumbosacral and Perineal Hemangiomas: Case Reports and Review of the Literature

Actas Dermosifiliogr (Engl Ed). 2019 Nov;110(9):728-733. doi: 10.1016/j.ad.2018.08.004. Epub 2018 Nov 16.
[Article in English, Spanish]

Abstract

Cutaneous hemangiomas are the most frequent benign tumors in children. When they affect the lumbar and perineal area some cases can be associated with an occult spinal dysraphism. The management of these hemangiomas lack consensus. We report 3 cases of children with lumbosacral and perineal hemangiomas with magnetic resonance image abnormalities and we review the literature to find out the type and timing of tests that should be performed to complete the study in these patients. Ultrasound is typically requested as young as possible, as this imaging technique is not possible 11the posterior spinal elements have ossified. MRI is the gold standard for diagnosing occult spinal dysraphism. According to the literature, the mean age for MRI screening should be around 6 months, when the fat formation in the filum terminale is expanded. In our opinion, an MRI scan should be performed at 6 months of age in every children with lumbar or perineal hemangioma regardless the lesion size, neurological symptoms or the ultrasound results.

Keywords: Disrafia espinal oculta; Hemangioma; Magnetic resonance image; Occult spinal dysraphism; Resonancia magnética.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Female
  • Hemangioma / diagnostic imaging*
  • Hemangioma / drug therapy
  • Humans
  • Infant
  • Lipoma / diagnostic imaging
  • Lumbosacral Region / diagnostic imaging
  • Male
  • Perineum / diagnostic imaging
  • Propranolol / therapeutic use
  • Skin Neoplasms / diagnostic imaging*
  • Skin Neoplasms / drug therapy
  • Spina Bifida Occulta / diagnostic imaging

Substances

  • Adrenergic beta-Antagonists
  • Propranolol