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 CASE REPORT
Year : 2009  |  Volume : 4  |  Issue : 2  |  Page : 127-130

Gluteal pseudophallus in a male child: A rare cutaneous marker of occult spinal dysraphism


Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India

Correspondence Address:
Abdul Rashid Bhat
Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences (SKIMS), Kashmir - 190 011
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.57343

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Congenital midline paraspinal cutaneous markers have been practically linked to the location and nature of neural-tissue lesions. One of the most interesting congenital midline paraspinal cutaneous markers has been the human tail in the lumbosacral region, with underlying spinal dysraphism. Human tails have many shapes and sizes and are usually localized to the lumbosacral region. After a complete neurological examination, the MRI is the most sensitive diagnostic modality to reveal the underlying occult spinal dysraphic state. Surgical excision is aimed at untethering of the spinal cord in symptomatic children and for aesthetic reasons in asymptomatic patients. Here we report an asymptomatic male child with normal external genitilia, whose tail is attached to the gluteal region like an adult phallus and investigations revealed an underlying spinal dysraphic state.






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