Sacral Dimple and Tuft of Hair may Indicate Spinal Abnormality

Dimple and tuft of hair in the skin over sacral region
Close up view showing the same findings as above

25-year old presented with low back pain of twelve years duration. He also had radicular pain involving left lower limb. Bladder and bowel symptoms were absent. Local examination showed sacral dimple and tuft of hair. MRI spine showed features of spina bifida and tethered cord syndrome. He was referred to Neurosurgeon for further management.

General examination is very useful in the evaluation of neurological disorders. Simple findings such as sacral dimple and tuft of hair can give a clue to spina bifida and tethered cord syndrome. All babies should be turned prone to look for this finding. This is because early detection and surgery can prevent disability.

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

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