Faun Tail Research Articles

Management of asymptomatic cutaneous lumbosacral findings in newborns: a neurosurgical perspective.

The purpose of this study was to find areas of agreement among pediatric neurosurgeons with respect to the clinical management of asymptomatic newborns with a variety of lumbosacral skin findings. An electronic survey containing 18 clinical images and brief vignettes was sent to pediatric neurosurgeons within the American Academy of Pediatrics Section of Neurological Surgery (AAP SONS). In total, 38% (n = 21) of AAP SONS members submitted complete responses to the survey. Respondents were asked if they would advise routine care, watchful waiting, imaging, or subspecialty consultation for each clinical case. Responses were categorized into two groups: 1) watchful waiting and/or routine care, or 2) imaging and/or subspecialty consultation. Consensus was categorized as good (> 90% of responses in the same group), modest (70%-90%), and poor (< 70%). Demographic information, local factors impacting management, and experiences with local referral patterns were also collected. Among the pediatric neurosurgeons within the AAP SONS network, the authors found high levels (> 90%) of agreement that subcutaneous lipomas, faun tail nevi, large skin tags, and deep/atypical lumbosacral dimples in asymptomatic newborns should prompt an imaging study. Similarly, the authors found high agreement that simple coccygeal dimples do not need imaging. The management of some types of lumbosacral vascular marks and gluteal crease deviations had poor agreement (< 70%). When imaging was recommended, there was preference for spinal MRI in most cases (67%). Pediatric neurosurgeons generally agree that imaging of the spine is indicated for asymptomatic newborns with subcutaneous lipomas, faun tail nevi, large skin tags, or deep/atypical lumbar dimples (deep or atypical appearing). They also agree that imaging is unnecessary for infants with simple coccygeal dimples. There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks.

Isolated Faun Tail at Thoracic Level

Faun tail or Silky down is an abnormal posterior midline hypertichosis, usually lumbo-sacral, which maybe associated with spinal dysraphism. The appearance also causes psychological distress to the patient. This is a case report of a 14-year old female presenting with a faun tail over mid thoracic region, without any associated spinal anomaly. Permanent laser hair reduction was performed for cosmetic improvement, using triple wavelength laser.

A Rare Case of Faun Tail Nevus Without Any Underlying Spinal Anomaly.

A Rare Case of Faun Tail Nevus Without Any Underlying Spinal Anomaly.

Diode laser in the management of faun tail nevi

Faun tail nevus is a rarely reported congenital cutaneous marker of an underlying spine or spinal cord anomaly characterized by the presence of a hypertrichotic patch affecting the lumbosacral region since birth. In addition to spinal dysraphism, it also affects the psychosocial life of the suffering patient. Herein, we report two cases of faun tail nevus, one with associated diastematomyelia. In both cases, cosmetic improvement was achieved with triple-wavelength diode laser. This article aims to present this sparsely reported clinical entity and describe our experience in its management with diode laser.

Familial Leukodermic Darier Disease with Faun Tail Nevus in a Female Child - An Uncommmon Coexistence.

Familial Leukodermic Darier Disease with Faun Tail Nevus in a Female Child - An Uncommmon Coexistence.

An unusual Case of Faun Tail Nevus with Aplasia Cutis, Dermo-fascial Sinus Defect, Diastematomyelia, and Spinal cord Syrinx.

An unusual Case of Faun Tail Nevus with Aplasia Cutis, Dermo-fascial Sinus Defect, Diastematomyelia, and Spinal cord Syrinx.

What can hide a faun tail?

What can hide a faun tail?

Faun tail nevus: A series of 15 cases and their management with Intense Pulse Light

BackgroundLocalized lumbosacral hypertrichosis presenting as faun tail nevus often represents an underlying spinal occult or overt abnormality. This study was undertaken to study these abnormalities and assess their treatment outcome with Intense Pulse Light (IPL) for permanent hair reduction. MethodsPatients reporting with localized spinal hypertrichosis underwent clinical examination and radio imaging. Symptomatic neurological deficit underwent definitive neurosurgical intervention (if indicated) before hair removal. IPL was administered as 30 J/cm2 four weekly for six sessions. Treatment assessment was based on a Global Physician Assessment Scale and by averaged terminal hair count at four quadrants in 1 cm2 area as observed through the hair densitometer before starting treatment, every four weeks and at the end of six months of follow up thereafter. Averaged hair count was interpreted with paired t-test. ResultsThis neurocutaneous marker was observed in 15 patients out of a total of 360,767 patients (0.004%) over a four-year period. Age group of patients ranged from 3 to 26 years, comprising of all female patients. Radio imaging revealed diastematomyelia in 10, spina bifida in 04 and 01 had both as the primary spinal abnormality. Thirteen patients were treated with IPL for a period of six months, assessment after six months revealed a highly statistical significant p > 0.0001 reduction in hair growth consistent when followed up after 18 months. ConclusionThis article aims to present a series of this rare neurocutaneous marker and highlight our experience in their management with IPL served as an effective alternative to traditional lasers.

Faun Tail Nevus Associated with Myelomeningocele

Faun Tail Nevus Associated with Myelomeningocele

Nevoid Hypertrichosis Associated with Spina Bifida

Introduction: Nevoid hypertrichosis is a rare disease characterized by the presence of terminal hair in a circumscribed distribution present since birth [1] The disorder has been associated with abnormalities of skin and other organs. We present a case of nevoid hypertrichosis associated with spinal dysraphism. Case Presentation: A 14 year old female presented with a patch of hair on her lower back since infancy (Figure 1). There was history of prolonged low backache. The antenatal and birth history was uneventful. Developmental milestones achieved by her were normal for age. There was no history of urinary or fecal incontinence or lower limb weakness. On examination, a well-defined patch of terminal, dark hair was noted on the lumbosacral region in the midline, though a tuft of hair was not present. Underlying skin was normal. No other cutaneous or mucosal abnormality was noted in the patient. No sensory or motor deficit was elicited. Pelvic radiograph (anteroposterior view) revealed spina bifida at L5 level and scoliosis (Figure 2). No other bony or articular abnormality was found. Vertebral height and intervertebral disc spaces were maintained. Soft tissue appeared to be normal. Based on history and examination, a diagnosis of nevoid hypertrichosis with spina bifida was made. Discussion: Nevoid hypertrichosis is the presence of well-defined patch of terminal hair present since birth, though it may develop some time after birth as well. Though usually single, it may be multiple and may be present along Blaschko’s lines [2]. Reports of depigmented hair also exist [3]. Several case reports suggest an association with cutaneous hypopigmentation, hypertrichosis cubiti and disorders of the eye, face, nails, bones, teeth, central nervous system, gastrointestinal system and respiratory system [4]. Nevoid hypertrichosis has to be differentiated from other causes of congenital hypertrichoses like congenital melanocyticnevus, congenital smooth muscle hamartoma and Becker’s nevus. Faun tail deformity is a localized hypertrichosis presenting on the lumbosacral region with a tuft of terminal hair and associated with spinal cord defects. Our patient had features similar to faun tail, but a tuft of hair was absent. Nevoid hypertrichosis persists for life and treatment might be sought for cosmetic reasons. Lasers can be used for hair reduction. Spontaneous resolution of the nevoid hypertrichosis has also been reported [5]. Conclusion This case highlights the fact that patients of nevoid hypertrichosis need to be investigated for other systemic abnormalities.

P143 – 3047: A case report: Faun tail

Objective A faun tail is abnormal lumbar hypertrichosis that is characterized by a wide, often triangular or lozenge-shaped patch of coarse hair, and this hair is usually several inches long. Faun tail is a rare entity. Faun tail is sign of spinal abnormalities like spinal disrafizm and also is middle line defect. Methods A 4-year-old female presented with a triangular shaped hair tuft with terminal hair on the lumbosacral area, and she'd had this unusual hair since birth. Results There were no neurologic signs The MRI scan showed tethered cord, syringomyelia on T12-L1, perineural cyst on sacral region, fibrolipoma on filum terminale, diastematomyelia on L1 vertebra. Conclusion The aim is to draw attention to faun tail and to emphasize the responsibility of physicians and cosmeticians to the recognize early so that appropriate early treatment can be administered for the possible underlying anomalies before the irreversible sequelae develop.

Faun Tail Overlying Spinal Dysraphism (Diastematomyelia) at the Mid Thoracic Level: Cosmetic Improvement Achieved with Diode Laser Epilation.

Faun Tail Overlying Spinal Dysraphism (Diastematomyelia) at the Mid Thoracic Level: Cosmetic Improvement Achieved with Diode Laser Epilation.

Faun tail associated with bony tail like projecting dysplastic sacral vertebral segments in natal cleft: Unique twin tails.

Faun tail associated with bony tail like projecting dysplastic sacral vertebral segments in natal cleft: Unique twin tails.

Faun Tail Overlying Spinal Dysraphism (Diastematomyelia) at the Mid Thoracic Level: Cosmetic Improvement Achieved with Diode Laser Epilation

Faun Tail Overlying Spinal Dysraphism (Diastematomyelia) at the Mid Thoracic Level: Cosmetic Improvement Achieved with Diode Laser Epilation

Faun tail nevus with neurofibroma: An uncommon cocktail…

Faun tail nevus is a congenital, posterior midline cutaneous defect, characterized by a circumscribed, hypertrichotic area on the lumbosacral region. It may be a cutaneous marker of underlying spine and spinal cord anomaly. Although, patients with this condition present to us mostly for cosmetic disfigurement, we should be vigilant, and look beyond cosmetic disfigurement, to unearth any underlying spinal anomaly. Here, we present a case of faun tail nevus in a 6-year-old girl, who consulted us merely for cosmetic disability, which was found to be associated with underlying spinal anomalies affecting the lower part of spinal cord and solitary neurofibroma. The clinical importance of such a finding has prompted this report.

The longest faun tail forming dreadlocks with underlying spina bifida occulta

Spina bifida is a developmental anomaly characterized by defective closure of the bony encasement of the spinal cord through which the spinal cord and meninges may or may not protrude. We report a rare case of a very long faun tail, which was in the form of a 20 inch long tail originating from the lumbosacral area in a rhomboidal pattern, measuring 10 x 8 inches. The case is being reported for its rare presentation of a 20 inch long faun tail with underlying spina bifida occulta.

Faun Tail Nevus and Spinal Dysraphism: Cosmetic Improvement with Alexandrite Laser Epilation

Faun-tail presents as an abnormal lumbosacral hypertrischosis and may be associated with spinal dysrasphism. In addition to the problems due to spinal anomalies, patient's physico-social life may also be affected. Here, we report a case of 13 years old female patient with Faun-tail in association with sypinal dysraphism, in which cosmetic improvement was achieved with the help of Alexandrite laser. Alexandrite laser can be the method of choice for permanent hair removal method due to its safe, effective and easy to apply properties.

Faun tail nevus

Faun tail nevus is a posterior midline cutaneous lesion of importance to dermatologists as it could be a cutaneous marker for its underlying spine and spinal cord anomaly. We report a 13-year-old girl with excessive hair growth over the lumbosacral region since birth. There was associated spinal anomaly with no neurological manifestation affecting the lower spinal cord. The diagnosis was made on clinical basis. The patient reported for cosmetic disability. This case is reported for its clinical importance.

Treatment of Faun-Tail Naevus with Intense Pulsed Light

Faun tail is a rare cutaneous marker of spinal dysraphism. This neurological abnormality may lead to difficulties such as severe pain and burning sensations in treatment of hypertrichosis of faun tail with laser or laser-like devices. We evaluated outcomes of an intense pulsed light source in two patients with faun tail. The Lumina intense pulsed light system [650-nm handpiece (550-1100 nm)] was used for the treatment. Magnetic resonance imaging and neurological examination were done. Tethered cord syndrome was detected as a neurological abnormality. The patients were treated with an energy fluence of 18- 26 J/cm(2), pulse sequencing of 3 to 4, and a delay time of 20-35 ms. Local anesthesia was applied in one patient during treatment for severe pain sensation. A mean of 85% hair reduction was achieved. A good cosmetic result with intense pulsed light treatment was achieved in the patients with faun tail. Local anesthesia may be required before treatment of faun tail with laser or laser-like systems due to associated neurological abnormalities.

Faun Tail Nevus with Aplasia Cutis Congenita

Faun tail nevus describes abnormal lumbar hypertrichosis, which may overlie on occult spinal abnormality and be a marker of asymptomatic underlying spinal dysraphism. We report a case of faun tail nevus, with dermal pits along with aplasia cutis congenita and asymptomatic spina bifida occulta, tethered conus, and diastematomyelia, a constellation of findings which to our knowledge has not been previously reported.