I just started seeing a 15 mo old who has a 2-3 mm birthmark midway down her back, but it is midline. She's walking, normal exam otherwise. Is imaging recommended at this age and with a birth mark at his position (as it is for lower back birth marks)?
FROM PEDS NEUROSURGERY: No. As long as the patient is asymptomatic with no complaints (constipation, toe walking, lower extremity pain), imaging wouldn't be indicated.