Dermal sinus tracts, even if superficial, can have deeper intraspinal connections, sometimes associated with tethered cord or dermoid cysts. MRI is the gold standard, but in infants, detection may be limited due to incomplete myelination and small tract size. A high-resolution MRI with contrast, ideally in a tertiary pediatric neurosurgery center, is advisable. If clinical suspicion remains high, repeat imaging or ultrasound (if <6 months) may be helpful.
Next Steps
Next Steps
🔶 Consider repeat contrast-enhanced spine MRI at a pediatric neurosurgery center
🔶 Clinical monitoring for signs of infection or neurological deficits
🔶 Pediatric neurosurgeon consultation
Health Tips
Early diagnosis and surgical management are crucial to avoid future complications like infection or neurological deficits.