2007, Number 34
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Med Univer 2007; 9 (34)
Lumbosacral agenesis
Loera GRG, Rodríguez BI, Rodríguez BR, Delgado GCJ, Cruz RA
Language: Spanish
References: 12
Page: 38-41
PDF size: 115.04 Kb.
ABSTRACT
Lumbosacral agenesis is an uncommon condition which is part of the caudal regression syndrome; its frequency is 1 per 25,000 live births and it is more frequent in children of a diabetic mother. This paper reports the case of a male newborn in his second day of life, who is referred to the Neonatology Department of the Dr. José Eleuterio González University Hospital, UANL in Monterrey, N.L., México, because he had malformations in the lower body segment diagnosed by X-rays as lumbosacral agenesis, he also presented polycythemia. There are no hereditary factors, nor a history of chemical exposure. A karyotype was done with a normal result of 46 XY. A glycosylated hemoglobin of the mother was requested and it was normal. An echocardiography demonstrated a patent foramen ovale and hypertrophic myocardiopathy without any hemodynamic repercussion. Due to its clinical complexity and the frequent association with multiple malformations, lumbosacral agenesis must be treated by a multidisciplinary team in order to identify the associated conditions and to offer an integral treatment.
REFERENCES
Araby SJ, Pacheco BC, Medrano SG. Agenesia caudal en una recién nacida. Presentación de un caso. Rev Mex Pediatr 2004;71:182-5.
Romero C, Intruvini S, Couto CJ, Massaro M, et al. Síndrome de regresión caudal. Presentación característica en RM. revista Diagnóstico. Volumen 9 (2000). Dirección URL: http://www. diagnostico.com.ar/diagnostico/dia097/d-si097.htm
Mervyn LR. Congenital spinal deformity. Revista eMedicine (2004). Dirección URL: http://www.emedicine.com/orthoped/ topic618.htm
Stephan R. Hijos de madres diabéticas. En: Avery GB, Fletcher MA, McDonald MG. Neonatología. Fisiopatología y manejo del recién nacido. 5ª ed. Buenos Aires: Editorial Panamericana, 2001;pp:348-71.
Vergara FHJ, Cardoso MA, Rosales MME, Orellana RC. Agenesia lumbosacra: tratamiento y propuesta de nueva clasificación. Acta Ortop Mex 2005;19:6-12.
Aslan H, Yanik H, Celikaslan N, Yildirim G. Prenatal diagnosis of caudal regresion sindrome: a case report. BMC Pregnancy Chilbirth 2001;1:8.
Adra A, Cordero D, Mejides A, Yasin S, et al. Caudal regresión síndrome: ethiopathogenesis, prenatal diagnosis and perinatal management. Obstet Gynecol Surv 1994;49:508-16.
Renshaw TS. Sacral agenesis. J Bone Joint Surg Am 1978;60:373-83.
García BE, Olmos MA, Beguiristain GJ. Defecto vertebral múltiple con otras anomalías acompañantes. An Esp Pediatr 2001;54:409-10.
Pleasure D, De Vivo D. En: Sistema nerviosos central. Rudolph CD, Rudolph AM, Hostetter M, editors. Pediatría de Rudolph. 21ª ed. Madrid: McGraw-Hill Interamericana, 2004;pp:2379-80.
Swischuk LE, Marí BJ. Agenesia sacra. Hipoplasia sacra y regresión caudal. En: Radiología del recién nacido y del lactante. 2ª ed. Barcelona: Editorial Salvat, 1979;pp:576-7.
Guille JT, Benevides R, DeAlba CC, Siriram V, et al. Lumbosacral agenesis: a new classification correlating spinal deformity and ambulatory potential. J Bone Joint Surg Am 2002;84:32-8.