Cutaneous stigmata indicative of occult spinal dysraphism in two ancient Roman statues

Symptoms of tethered spinal cord syndrome often present later in life and go undiagnosed due to a lack of appreciation of the associated cutaneous stigmata. This is especially true with occult spinal dysraphism. Here, we report cutaneous signs of occult spinal dysraphism identified in two ancient Roman sculptures. Although the significance of such findings may not have been realized, the association between cutaneous stigmata of the back and underlying malformations involving the spinal cord is now recognized, as such findings are typically imaged to evaluate for spinal cord tethering.

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Publication Details

Journal
Child s Nervous System
Published
2026-04-22
DOI
https://doi.org/10.1007/s00381-026-07258-0
Primary Topic
Spinal Dysraphism and Malformations
Type
article
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article

Cutaneous stigmata indicative of occult spinal dysraphism in two ancient Roman statues

Kathleen Bubb, Carmine Antonio Donofrio, Filippo Badaloni, Yoko Tabira et al.
Child s Nervous System
Spinal Dysraphism and Malformations
article

Cutaneous stigmata indicative of occult spinal dysraphism in two ancient Roman statues

Kathleen Bubb, Carmine Antonio Donofrio, Filippo Badaloni, Yoko Tabira, Antonio Fioravanti, R. Shane Tubbs, Joe Iwanaga
article en

Abstract

Symptoms of tethered spinal cord syndrome often present later in life and go undiagnosed due to a lack of appreciation of the associated cutaneous stigmata. This is especially true with occult spinal dysraphism. Here, we report cutaneous signs of occult spinal dysraphism identified in two ancient Roman sculptures. Although the significance of such findings may not have been realized, the association between cutaneous stigmata of the back and underlying malformations involving the spinal cord is now recognized, as such findings are typically imaged to evaluate for spinal cord tethering.

Child s Nervous SystemVol. 42(1)
Kurume University (JP), Tulane University (US), Ochsner Health System (US), The University of Queensland (AU), Cornell University (US), Istituto delle Scienze Neurologiche di Bologna (IT), Istituti Ospitalieri di Cremona (IT), Weill Cornell Medicine (US), Azienda Socio Sanitaria Territoriale di Cremona
Openalex Percentile: Top 8%
Spinal Dysraphism and Malformations
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Cutaneous stigmata indicative of occult spinal dysraphism in two ancient Roman statues — Kathleen Bubb, Carmine Antonio Donofrio, et al. · Child s Nervous System (2026) | TGRS Research Map | TGRS