Hair At Lower End Of Spinal Cord In Newborn

Meningocele
Figure 3.57. A cervical meningocele may be difficult to differentiate from an occipital encephalocele. Further study in this infant showed that this was a cervical meningocele.
Spinal Hair Tuft Newborn

Figure 3.58. A midline hair tuft in the lumbosacral area. This infant had a tethered cord on MRI study. Hair tufts, skin tags, sinuses, and abnormal pigmentation that occur in the midline along the length of the spinal column should always alert one to the possibility of an associated underlying neurologic abnormality. With a tethered cord the neural tissue is firmly attached at its caudal end, being bound by a stout connective tissue band to the interior of the bony canal. With growth, the spinal canal normally grows more rapidly than the spinal cord resulting in traction on the cord. This may gradually pull the lower end of the brainstem down into the foramen magnum like a cork into a bottle. This is the Arnold-Chiari malformation.

Figure 3.58. A midline hair tuft in the lumbosacral area. This infant had a tethered cord on MRI study. Hair tufts, skin tags, sinuses, and abnormal pigmentation that occur in the midline along the length of the spinal column should always alert one to the possibility of an associated underlying neurologic abnormality. With a tethered cord the neural tissue is firmly attached at its caudal end, being bound by a stout connective tissue band to the interior of the bony canal. With growth, the spinal canal normally grows more rapidly than the spinal cord resulting in traction on the cord. This may gradually pull the lower end of the brainstem down into the foramen magnum like a cork into a bottle. This is the Arnold-Chiari malformation.

Lumbosacral Hair
Figure 3.59. A midline tuft of hair with a pig-mented nevus in the lumbosacral area. This should alert one to the possibility of an associated underlying neurologic abnormality.
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Responses

  • tewolde
    Why do Newborns get a tuft of hair on their spinal cord?
    3 years ago

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