Abstract

RESA SERRANO, Elena et al. Occipital skin dimple in a new-born girl. Rev Pediatr Aten Primaria [online]. 2019, vol.21, n.84, pp.393-396.  Epub May 25, 2020. ISSN 1139-7632.

The dermal sinus is a congenital neural tube closure defect that occurs between the 3rd -4th week of gestation. It is a variety of dysraphism that allows a potential communication between the skin and the central nervous system. It often is located in the posterior midline, from occipital to lumbosacral region, the occipital location is the second most frequent. The clinic is very variable, from asymptomatic patients to development of meningitis or abscesses due to a communication with the central nervous system as the first clinical manifestation. Magnetic resonance imaging is the most appropriate diagnostic imaging test, it allows to determine the lenght of the fistulous path and rule out injuries at other levels. Total prophylactic surgical excision is recommended in all cases. We present a case of a newborn with a skin dimple in occipital region visualized in the first physical examination.

Keywords : Spinal dysraphism; Skin diseases; Spina bifida occulta; Skin dimple; Meningitis; Dermal sinus.

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