Abstract
Although the typical myelomeningocele presents no difficulty in diagnosis, differentiation of masses over the caudal spine of infants may be difficult when the lesion is covered by intact skin. This paper presents the clinical and radiologic findings in 31 such cases and reviews parameters by which the major diagnostic groups can be separated. A few simple clinical observations, when combined with standard radiographs, should allow the clinician to arrive at a preoperative diagnosis with increased certainty.
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