Dermoids and dermal sinus tracts of the spine.

  title={Dermoids and dermal sinus tracts of the spine.},
  author={Paul M. Kanev and Tae Sung Park},
  journal={Neurosurgery clinics of North America},
  volume={6 2},
The evaluation of a child with a midline dimple or pit is one of the most common referrals to a pediatric neurosurgeon. Regardless of their depth, those below the top of the intergluteal crease end blindly and never extend intraspinally. Families can be reassured there is no infection or mechanical risk to the developing nervous system. A high index of suspicion must be maintained for all dimples above the intergluteal fold despite a normal examination or neuroradiologic studies. The midline… CONTINUE READING