I just saw another thread about tethered spine markers and, rather than hijack that thread, I thought I'd ask my question in a new thread.
It has never occurred to me before, but now I'm wondering if I should ask our doctor about DS - he has a fairly deep dimple at the base of his spine (just below his butt crack :) ), he also has stork bites at the base of his neck and in the center of his forehead (though the forehead one is very faint). Does this seem like something I should worry about?!
He has no signs of weakness, though he does have a language delay.
As far as I know, stork bites on the back of the neck and forehead are completely normal. The sacral dimple may or may not be - could be a sign of SBO (spina bifida occulta), the presumed prevalence of which in the general population ranges from about 10% to 40%. Most people do not have any symptoms, though some do. Things to watch out for would be:
not being able to see a bottom to the dimple
feet bending in
bladder isssues: difficulty getting potty trained, frequent UTIs, urgency, not feeling the need to go at all
bowel issues: unexplained constipation or diarrhea, again difficulty getting potty trained
fluid leaking from the dimple (that one would mean see a neurosurgeon like right now)
While children with full blown SB are at higher risk of speech delays, I think that one is too prevalent in the general population to be a useful indicator.
My son has a sacral dimple, it's fairly deep, but we can see all the way to the bottom, so the ped said it wasn't anything to worry about. He's 4.5 now and other than being a little later potty training as far as daycare was concerned he hasn't had any issues.
Just keep at the back of your minds that if you canNOT see the bottom, that means its a red flag to get this checked out with some form of imaging asap (with a newborn, ultrasound may do, older kids or adults may need an x-ray or even an MRI).
However, if you CAN see the bottom, it means that the skin is closed and there is no sinus to the neural tube - the ped is right so far in that you do not need to worry about it as long as the kid does not have any issues. But the dimple can, in very rare cases, still be a sign of SBO, so IF anything turns up, that red flag should pop up again.
More signs that the dimple might be worth keeping in mind:
a tuft of hair inside or close
red discoloration at the site or close
rereading your post, i realized that I've forgotten to put
Signs that the dimple is on the harmless side:
being below the level of the butt crack
Ok, thank you all, this has been very helpful.
I can see the bottom of the dimple and it is below the butt crack, no hair. So that is all very comforting. Since our son is language delayed, I am always watching for other things that might be going on. Sounds like the dimple is not overly worrying. I will just wait until we see his dev ped again in a few months. :)