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World J Clin Pediatr. Aug 8, 2013; 2(3): 26-30
Published online Aug 8, 2013. doi: 10.5409/wjcp.v2.i3.26
Published online Aug 8, 2013. doi: 10.5409/wjcp.v2.i3.26
Acute flaccid paralysis in a patient with sacral dimple
Mohammed Mostafa, Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Faculty of Medicine, Mansoura University Children’s Hospital, Mansoura 35516, Egypt
Nehad Nasef, Tarik Barakat, Amany K El-Hawary, Hesham Abdel-Hady, Department of Pediatrics, Faculty of Medicine, University of Mansoura, Mansoura 35516, Egypt
Author contributions: Mostafa M and Nasef N participated in patient care, data collection, and writing the manuscript; Barakat T and El-Hawary AK participated in patient care and writing of the manuscript; Abdel-Hady H participated in writing of the manuscript.
Correspondence to: Hesham Abdel-Hady, Professor of Pediatrics/ Neonatology, Department of Pediatrics, Faculty of medicine, University of Mansoura, Algomhoria street, Mansoura 35516, Egypt. hehady@yahoo.com
Telephone: +20-10-5278051 Fax: +20-50-2234092
Received: March 20, 2013
Revised: April 26, 2013
Accepted: May 7, 2013
Published online: August 8, 2013
Revised: April 26, 2013
Accepted: May 7, 2013
Published online: August 8, 2013
Core Tip
Core tip: Acute flaccid paralysis with sensory level necessitates a detailed examination of the back and magnetic resonance imaging spine. Sacral dimple of more than 5 mm in diameter, lying 2.5 cm above the anus, covered by hair tufts or hemangioma, has a non visualized base, or associated with abnormal neurological examination should be further evaluated by radiology for a hidden sinus that could be a source of infection.