Sacral dimple, anyone?

iVillage Member
Registered: 11-15-2003
Sacral dimple, anyone?
16
Sun, 06-29-2008 - 1:46am
Zoe has a sacral dimple that has never been of any concern to anyone until we saw the Developmental Pediatrician a couple weeks ago. It's shallow and has no hair growing in it or any other marks. The Dev. Ped.'s nurse remarked that it was unusual because it is off-centered. She said that the doctor may want to have it imaged only because Zoe was a little delayed with her walking, but not with any of her other gross motor skills (she did most stuff early, but didn't walk until 15 months). She also was concerned because Zoe's feet over-pronate and she has to wear braces, so she felt it might be related. Here are a couple of pics of her dimple:
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I showed it to Zoe's PT, who made the connection that it is on her left side...and all of Zoe's other problems are on her left. She had left torticollis, her left leg is externally rotated (when she's not in her braces), and her left foot pronates much more.

I then mentioned this to Zoe's regular pediatrician, and she wants us to go see a pediatric neurosurgeon who may want an MRI. I do not want to put Zoe under, unless it is absolutely critical that we have this MRI done. I don't know what to think of it all...I am worried that it is off-centered, because that must mean her spine is off-centered, right? I have severe scoliosis (43 degree curve) so I already know she has a greater risk of having scoliosis. I tried to read up on what they may be looking for and all I could really find was Spina Bifida Occulta (which also happens to have a higher incidence of scoliosis, along with leg weakness, back pain, sensory loss, incontinence, etc. I am concerned too because Zoe has shown a very high pain tolerance especially in her legs...she did not notice when she was bitten by four ants a month ago, and she had zero reaction to her toe being stuck with a needle to draw blood for an anemia check.

Sorry this is long-winded...I'm just wondering if anyone else has experience with this and knows anything about it? Our appointment with the neurosurgeon isn't until August 6th. I think this is one of those things where I'm trying to figure out exactly how worried I should be!

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iVillage Member
Registered: 08-14-2005
Sun, 06-29-2008 - 9:24am

Hi. I'm sorry you have this worry. I've never heard of this. The only thing I've read in posts is that a sacral dimple can be linked to a tethered spinal cord. I'm not sure what testing is done to evaluate this - maybe it's an MRI.


I see in your posts comments from the nurse, and from the PT, but what do the Dr's say? I think the neuro would be the best one to evaluate this. Or maybe an orthopedic surgeon?

iVillage Member
Registered: 03-27-2003
Sun, 06-29-2008 - 10:05am

Hi - I agree with Carol that this is something to be looked at - beyond that, you'll have to decide what the benefits are to doing an MRI or other tests/interventions.

iVillage Member
Registered: 06-04-2007
Sun, 06-29-2008 - 7:44pm

Hi,


I don't really post much but my daughter also has a sacral dimple that is very similar to your daughters.

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iVillage Member
Registered: 08-27-2007
Mon, 06-30-2008 - 2:48pm

Your daughter has Phelan-McDermid Syndrome then?


That was the one that our Craniofaical team said Bryn had at first. It was our clinical dx until we did our genetic testing and found a chromosome 6 deletion (6.21.3)which is called Stickler Syndrome III.


We also found out that my cleft palate, Aidins cleft palate and my cruddy joints and deafness were all related. Who knew. I thought I was just falling apart early.


Stickler Syndrome 1 & 2 occur in the chromosome 22 region also. We were part of 22 deletion centreal.


Sorry to hijack the thread, I just never heard of anyone else with this dx.



              *Praying for my best friend, my Dad*


 &n

iVillage Member
Registered: 06-04-2007
Mon, 06-30-2008 - 8:53pm

Hi,


Yes my daughter has Phelan-McDermid Syndrome.

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iVillage Member
Registered: 08-27-2007
Tue, 07-01-2008 - 7:37pm

Does she have the Pierre RObin also?


Thinking back, it was actaully our Ped who first suggested it, sorry. But that was the one they felt she fit the best.


I hope you dont mind me asking those questions. I also have never met anyone else who has it (not that Bryn actually does)

              *Praying for my best friend, my Dad*


 &n

iVillage Member
Registered: 06-04-2007
Tue, 07-01-2008 - 7:59pm

I definitely

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iVillage Member
Registered: 08-27-2007
Wed, 07-02-2008 - 8:31pm

Thank you for sharing your experience with me. It must have come as a huge shock to you. HUGS.


              *Praying for my best friend, my Dad*


 &n

iVillage Member
Registered: 11-09-2006
Thu, 07-10-2008 - 9:55pm

Hi.

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iVillage Member
Registered: 05-06-2004
Mon, 07-14-2008 - 1:06pm

Both my children have a

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