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Dermal sinus
My baby has been clinically diagnosed with Dorsal dermal sinus but MRI could not detect it may be because it's superficial . She has pin hole opening which is now clogged . She is not experiencing any problems so far except for sitting with rounded back . Do I need get her a MRI again ?
Answers (5)
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A superficial dermal sinus will not cause much problem to the child.
Your baby has to be examined to see if she has any neurological deficits.
If it's not there and MRI also does not show any spinal connection, then you need not worry.
The only problem it can cause is local infection.
Make sure you keep the area clean.
Wash with soap and water everyday and dry with towel
Next Steps
See a pediatric surgeon so that your baby can be examined.
if local infection occurs we can remove the tract under anesthesia.
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It may be pilonidal sinus..look for discharge if present need minor surgical procedure.if it's only dorsal sinus and superficial better to have minor procedures like glue injection so to obliterate the tract..
Once it gets infected and filled with fluid..she will have symptoms
Next Steps
Close observation and review for direct examination by surgeon
Health Tips
Avoid sweating,wetness, Good skin hygiene, Look for fever episodes
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Wait m watch
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Wait
Health Tips
Regular follow up
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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.
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Dr. Prudhvi Bandaru
Anesthesiologist
8 yrs exp
Surat
MRI is usually the investigation of choice but has limitations especially for small tracts or in infants where incomplete myelination is present.
Next Steps
Preferably MRI of the entire spine with contrast. ultrasound is an option but in less than 6 months baby.
Health Tips
consult a pediatric surgeon or neurosurgeon for better understanding.
Even if there are no symptoms, prophylactic surgical excision is often advised due to the risk of meningitis and neurological defects.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.