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Caudal regression syndrome

Case contributed by Prashant Gupta
Diagnosis certain

Patient Data

Age: 3 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

Partial agenesis of sacrum seen. Note the filum terminale lipoma which is suppressed on this fat sat image. Note the "club" shaped conus with syrinx - the club-shaped blunted conus is typical for sacral agenesis.

Case Discussion

There are four types of sacral agenesis:

In type 1, partial unilateral agenesis is localized to the sacrum or coccyx. 

In type 2, there are partial but bilaterally symmetric defects in the sacrum. The iliac bones articulate with S1, and distal segments of the sacrum and coccyx fail to develop. 

In type 3, there is total sacral agenesis and the iliac bones articulate with the lowest available segment of the lumbar spine. 

In type 4, there is total sacral agenesis and the iliac bones are fused posteriorly along the midline.

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