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July 1993

Tail-like Protrusion on the Nape With Cervical Spina Bifida

Author Affiliations

Division of Dermatology Tsuyama Central Hospital Nikaimachi 67 Tsuyama 708, Japan; Department of Dermatology Faculty of Medicine Tottori University 36-1 Nishimachi Yonago 683, Japan

Arch Dermatol. 1993;129(7):918-919. doi:10.1001/archderm.1993.01680280108034

To the Editor.—  We report a case of congenital tail-like protrusion on the nape of the neck associated with underlying cervical spina bifida.

Report of a Case.—  A 6-year-old boy was seen for removal of a protrusion on the nape of his neck. He had been delivered normally at term. The protrusion had been noted at birth and had shown no movement after any stimulation. He had shown neither neurologic abnormalities nor difficulty in motion of the upper extremities during the intervening 6 years. Physical examination revealed that the patient was well developed and had normal mental functions. The tapering protrusion was 1 cm long, with a diameter of 0.5 cm at its constricted basal portion located on the midline at the level of cervical vertebrae C-2 to C-3 (Fig 1). It was soft and had terminal hairs, and its mobility along with the underlying tissue was poor. Neurologic findings

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