Is in the shape of a fan located in the posterior pelvis, on both sides and connects the sacrum to the iliac tuberosities. (e. e. Karydakis’ work from the 1970s to treat Pilonidal Disease with surgery, Dr. One infant had urodynamics studies and a tethered cord release. Telephone. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. This is the American ICD-10-CM version of P13. a fatty lump. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. Typical dimples are found at the skin on the lower back near the buttocks crease. 1a,b). 100 749. This shear stress mechanism of bruising has been reported as vertical linear bruises along an apparent strain line where the buttocks arch into the gluteal cleft. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). With thousands of award-winning articles and. Germolene. A recent meta-analysis of 6,143 studies by Stauffer et al. Each referred participant was risk stratified based on specific physical exam findings. Thirty-seven (14. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. The patient is able to sit, has full pelvic range of motion, and sexual intercourse. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. This is the American ICD-10-CM version of P01. Had our first well check today and a scheduled ultrasound. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. The crooked gluteal fold seems to be caused by more fat on one side than the other. g. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This gap allows food, liquid, and saliva to pass through the larynx into the lungs. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. Tinea cruris is usually due to T. Atypical dimples may be located higher up on the back or off to the side. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. Fully searchable through Find-A-Code's Comprehensive Search. Final. Anus opening absent, gluteal cleft, and anal dimple not well developed. basically, the top of his bum crack makes a y shape…P54. Intergluteal cleft Gluteal Fold Gluteal Sulcus Iliac Crest Dimple for. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. little man has a duplicated gluteal cleft. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. 5cms from anal verge o Vascular lesion e. 6 - other international versions of ICD-10 Q82. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. Laceration of left buttock; Left buttock laceration; Stab wound of left buttock; ICD-10-CM S31. Dec 1, 2018 at 7:24 PM. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Re: Upper gluteal cleft (buttcrack) is bleeding. Expand all. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. 6 Therefore, we could consider these patients low risk for having OSD. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. It occurs in 1 in 2500 live births. 2. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. 8 may differ. Coccygeal pits are distinctly different from dermal sinuses and may occur at rates as high as 4% in the general population. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears. little man has a duplicated gluteal cleft. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. Ask parent/carer how the baby is feeding and if there has been any vomiting, and if so, what colour. Cleft lip, bilateral. The urethra is absent: A fibrous cord into the anterior wall of the rectum:. Gluteus Maximus are a group of muscles. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31 (6%), several of the above. [Billable] [POA Exempt] There's more to see -- the rest of this topic is available only to subscribers. 2 is considered exempt from POA reporting. Some aren't visible, while others can look like a small pit or dimple in the skin. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 120 Q36. Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. hemangioma, telangiectasiaThe 2024 edition of ICD-10-CM P01. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. Variation in Management of Cutaneous Lumbosacral Findings in Newborns. states "Butt" that is less specific than "Gluteus Maximus". 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 32 No. Specialty: General Surgery. Some of the lesions had a raised hyperkeratotic border, whereas others were scaly and/or erosive (Fig. It causes a deformity of the lip, nose and upper jaw. little man has a duplicated gluteal cleft. The two major types of spinal dysraphism are based on the appearance, i. I’ve noticed my baby has a Y shaped cleft on her bottom. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). This is the American ICD-10-CM version of Q37. - "A Cross-Sectional Assessment of Cutaneous Lumbosacral. Applicable To. little man has a duplicated gluteal cleft. Five hundred twenty-two patients with a mean age of 6. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. The code is exempt from present on admission (POA) reporting for inpatient. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Birth weight is down by 5. Objective. This was the first year ICD-10-CM was implemented into the HIPAA code set. info@flourishpaediatrics. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. (1) (2) These defects, which result from abnormal. Applicable To. P01. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 96. 04%). Had our first well check today and scheduled an ultrasound. 5 became effective on October 1, 2023. a. 2 The bruises appear to result from compressing/shearing forces arising during abusive spanking (Figure 3). Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. The code is exempt from present on admission (POA) reporting for. 3 March 2011 111 Each referred participant was risk stratified based on specific physical exam findings. shfkekhre. 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. But these lesions are limited to the gluteal cleft whereas a dermal sinus tract originates above the cleft and can interconnect with the spinal canal and dura mater. Expert solutions. 12 Q36. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. Applicable To. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. 8% had deviated or duplicated gluteal creases, 15. In newborns, the diagnosis is very ambiguous due to physiologic instability originating from the inborn laxity. It is decorated from the upper side with rhinestones and colorful studs. Posted 06-05-18. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. Similar. 6 may differ. It has over 40,000 names organized gluteal cleft newborn. Free returns. Article. Q82. nervous system sacral dimples Pediatrics in Review Vol. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. , navel, intergluteal crease, penis, lips, and web spaces. In association with other OSD associated congenital abnormalities like CEARMSGuideline for investigation of lumbosacral skin lesions in newborn infants WAHT-PAE-016 Page 1 of 6 Version 3. 03 9696 GROW or 9696 4769. Of 1096 infants included in the study, 24. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Had our first well check today and scheduled an ultrasound. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. My newborn is 3. 5 cm from the anal. We found deviated or duplicated gluteal creases in 24. R. 8%. g. Collapse all. The gluteal cleft refers to the separation of the buttocks. Since that time, the operation has evolved and improved to the procedure practiced by The Sternberg. This is the American ICD-10-CM version of Q36. No other skin changes are seen. Q82. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. It occurs as a dermal indentation, found along the midline of the neuraxis and often presents alongside infection and neurological deficit. This means that the butt crack will appear off-center. This condition is. 5 - other international versions of ICD-10 P01. This is the American ICD-10-CM version of M67. 3 March 2011 111. Codes mentioned in articles are linked to Code Information pages. Fig. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. My 1st has a duplicate gluteal cleft and 2 sacral dimples. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. This is the American ICD-10-CM version of Q82. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. Q82. A. Absorb moisture—use disposable diapers with super absorbent gelling materials. Some consider the term spina bifida occulta. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Gluteal region by ritika. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. On physical examination, well‐demarcated, erythematous, verrucous papules and confluent plaques, measuring 10–30 mm in size, were seen on both sides of the inner gluteal cleft, sparing the anal margin. Congenital dermal sinus is an uncommon form of cranial or spinal dysraphism. A duplicated gluteal cleft associated with occult spinal dysraphism. 6 became effective on October 1, 2021. Anusol suppositories. Physical examination findings that prompted a spinal ultrasound included isolated deep sacral dimple (34%); deep sacral dimple in association with other. k. 2 Coccygeal pits lie between the gluteal clefts, are oriented caudally, and typically do not have a deeper pathology, whereas dermal sinuses lie superior to the gluteal clefts, are oriented cephalically, 2,7 and in an. 5 - other international versions of ICD-10 Q82. The 2024 edition of ICD-10-CM Q82. 419 may differ. May 2020; Hospital Pediatrics 10(6)D ISCUSSION. Q18. Cleft lip in the presented case - newborn of 4 days old. Similar. [Zywicke, 2011] Neural Tube Defects: [Zywicke, 2011] Open vs Closed. This is the American ICD-10-CM version of Q84. ) (gestational age 40 weeks, birth weight 3460 g, length 54 cm) The female patient was transferred for spinal sonography at the age of 5 days due to an asymmetrical gluteal crease. In light of the nonresolving extra-axial mass and thick taut lipomatous. The cause of congenital earlobe deformities is unknown. I've never heard of such a thing before he was born. Subjects. 1 Global variations in incidence have been reported, ranging from 0. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. E. Had our first well check today and scheduled an ultrasound. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. The patient subsequently underwent resection of the mass with bilateral gluteal rotational flaps. Myalgia is pain in muscles, and since your Dr. Sacral dimple ultrasound – sagittal. There are many approaches to examining a newborn, many of which are acceptable. 8. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. 6% had dimples, and 24. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. Epigastric mass; Epigastric swelling, mass. Similar. nervous system sacral dimples Pediatrics in Review Vol. This is the American ICD-10-CM version of Q84. Figure 2. basically, the top of his bum crack makes a y shape…newborns at least 35 weeks or greater gestational age under the authors’ care. nervous system sacral dimples Pediatrics in Review Vol. 1 may differ. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. The birthing room suddenly becomes very quiet, and the birth team seems somber. Pediatr Rev. 34 may differ. A newborn physical exam routinely includes checking for a sacral dimple while your newborn is still in the hospital. The cystic mass extended into a dilation of the central canal due to. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 02). Had our first well check today and scheduled an ultrasound. A. By Perrine Juillion / October 25, 2019. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules),. They don't usually cause problems or need treatment unless they get infected. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. The 2024 edition of ICD-10-CM M67. Moisturiser every night. This is the American ICD-10-CM version of Q82. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The 2024 edition of ICD-10-CM Q63. 02). The remainder of the exam was essentially normal. ANSWER: SACRAL DIMPLE. Upgrade to remove ads. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. . Visited with specialists to better understand her asymmetrical duplicated gluteal cleft, lumbar hemangioma, and then a CT and swallow study to help us figure out her NeuroEndocrine Cell Hypoplasia of Infancy. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. Here are some other things that have been done by or suggested by the Doctors. 8% had deviated or duplicated gluteal creases, 15. Non-duplicate identified articles were independently reviewed by two authors (J. Applicable To. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Best answers. The universal screening picked up a type IIa DDH in 44. ings in newborn infants. Hey Ladies. Although fistulas above the gluteal cleft may be. 9 became effective on October 1, 2023. The coccygeal region and anus are prepared with iodine or chlorhexidine. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. This persisted at 6-month follow up imaging. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. It’s usually just above the crease between the buttocks. nervous system sacral dimples Pediatrics in Review Vol. Apr 10, 2017. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. kdmahnke13. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an. 4,16,18,19 A simple sacral dimple is located in the midline, within the gluteal cleft, has a diameter less than 5 mm, and is less than 2. basically, the top of his bum crack makes a y shape…15 result found: ICD-10-CM Diagnosis Code M76. non-midline lesion, forked gluteal cleft, coccygeal pit. 32 No. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Remove the tibia and fibula. ), and relevant articles were selected by mutual agreement. Has anyone had any expierence with this ?Answer: Gluteal cleft. MeSH Code: D010864. The aim of this article was to summarize results of the consensus sessions that occurred. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. Ems0. With thousands of award-winning articles and community groups, you can track your. Within 90 days. 4%, which is normal, will expect to be at birth weight at 2 weeks. The 2024 edition of ICD-10-CM Q82. ), and the gluteal cleft is normal. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Dimples that may require further investigation are those that are large. The estimated overall incidence of pilonidal disease is 26:100,000. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). After reviewing the case, we decided to design the inferior flap as a laterally. Aju1985. Had our first well check today and scheduled an ultrasound. The crease is nearly always present and usually not perfectly symmetrical. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma. Cleft Palate A cleft palate is a birth defect characterized by an opening in the roof of the mouth, caused by a lack of tissue development. findings (hypertrichosis, haemangioma, caudal appendage, deviated gluteal fold, discharging sinus, etc) > 5mm in diameter, situated above the natal cleft or > 25mm from anus. I'm on this particular Dx right now with a progress note - "Pain in Right Gluteal Region". They can rule out a tethered spinal cord for her through an MRI when she is older. This could be a sign of a spinal cord tether, spinabifida etc. 0 may differ. 8. Finally. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. This is the American ICD-10-CM version of P92. Decision to use ultrasound vs MRI as first-line imaging is somewhat institution dependent G. The 2024 edition of ICD-10-CM P13. APR with en bloc resection of the posterior wall of the vagina. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. 1% (in Germany) to as high as 6. 34 became effective on October 1, 2023. The overall frequency of each physical. Other perianal infectionsHad our first well check today and scheduled an ultrasound. 8 - other international versions of ICD-10 Q63. Applicable To. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. Caudal duplication syndrome (CDS) is a rare disease entity with prevalence of less than 1 per 100,000 at birth. Cleft of earlobe (left), earlobe duplication (middle), and skin tag on the back of the earlobe (right). View all the articles associated with any code, right from the code page! Thank you for choosing Find-A. Synonyms: aberrant forearm flexor muscle, aberrant. little man has a duplicated gluteal cleft. Motor/sensory grossly normal. The number and severity of symptoms associated with 22q11. They are a rare type of ear deformities. 419 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. C. Urinary and bowel dysfunction are nearly universal. Background. Pregnancy was complicated by maternal obesity, mild intermittent asthma, hyperthyroidism, allergic rhinitis, anemia, and sickle cell trait. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. Most sacral dimples are harmless and don't need treatment. A newborn boy was noted to have a high-lying pit above the natal cleft with surrounding hair (fig 1). Q82. This baby’s gluteal creases are uneven (note yellow lines). Figure 2. Figure 1. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. Sign in to MyChart. Expand all. Analpram is a steroid, as you said, and with prolonged use thins the skin. Congenital sacral dimple. 3 The surgeon marks the standing patient. Sign up. rare skin condition that has distinct clinical and histologic features. Had our first well check today and a scheduled ultrasound. 18 Although it has long been recognized that midline uncomplicated dimples located within the gluteal crease (so-called coccygeal pits) are unlikely to be associated with a tethering lesion, Gomi. Duplicated / Deviated gluteal cleft; Caudal appendage; Other cutaneous findings: Capillary hemangioma / Vascular Nevus; Hypertrichosis (hairy patch). Figure 4. For other babies, only part of the palate is open. The buttocks are retracted laterally with adhesive tape to expose the gluteal cleft. 6 may differ. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. 8% of the subjects. Skin. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). It is decorated from the upper side with rhinestones and colorful studs. The 2024 edition of ICD-10-CM Q82. basically, the top of his bum crack makes a y shape…The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. If this happens, no feedings should be given until the newborn has been examined. She denied fever, chills, weakness, fatigue. 8% had deviated or duplicated gluteal creases, 15. 7% had lumbosacral and/or coccygeal hairiness. The estimated overall incidence of pilonidal disease is 26:100,000. k. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Open the PDF for in another window Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch , skin manifestations Sacral dimples. A duplicated gluteal cleft associated with occult spinal dysraphism. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. I can’t help but worry!!!ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Anusol wipes. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. The rest of the physical. Routine screening tests to detect problems that cannot be seen during the physical. there is a duplicated gluteal cleft; there is more than one dimple; the dimple lies outside the sacrococcygeal region; there are any neurological abnormalities noted; The above may be associated with an underlying neurological problem, for example spinal dysraphism.