year old girl stating "she was born with a hemangioma at the base of
her spine; it is only on the surface and doesn't
effect her nervous system. The docs did the
"wait and see" and after 8 years, the
redness is all but gone. The "swell" seems
to be getting larger. Is this a secondary
abnormality (fibrofatty tissue) or something else,
like a tumor? No one seems to know anything here
about these vascular birthmarks."
suggested for further investigation of the
spine. Reportedly, MRI (not shown here) showed
with spinal abnormalities in hemangiomas
overlying the lumbosacral spine is well known.
The most common malformation in this setting is
a tethered cord, often accompanied by an occult
lipomeningocele. Rarely, genitourinary
abnormalities (imperforate anus, abnormal
external genitalis, kidney abnormalities) may be
patient, at the age of 8 years, it is quite
unusual to see any enlargement or swelling in
the area. MRI is indicated to assess the spinal
structures. Other imaging studies including CT
and US, not appropriate at this age.