{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T12:55:37Z","timestamp":1762001737151},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"unspecified","delay-in-days":2406,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:sec id=\"S0317167100008738_abs1\"><jats:title><jats:bold><jats:italic>Background:<\/jats:italic><\/jats:bold><\/jats:title><jats:p>A male infant was born with a digit attached to a skin-covered lumbar lipomatous mass and an underlying split cord malformation.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100008738_abs2\"><jats:title><jats:bold><jats:italic>Methods:<\/jats:italic><\/jats:bold><\/jats:title><jats:p>Surgical removal of the mass was performed at four months-of-age. By this time the digit had grown a nail and imaging and histology showed ongoing development of articulated phalanges.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100008738_abs3\"><jats:title><jats:bold><jats:italic>Results:<\/jats:italic><\/jats:bold><\/jats:title><jats:p>The lipomatous mass contained a long bone, a clavicle-and scapula-like structure and a variety of other mature germ layer derivatives. These features raised a number of diagnostic considerations, including: mature teratoma, hamartoma, rudimentary parasitic twin, lipomyelomeningocele and dorsal accessory limb.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100008738_abs4\"><jats:title><jats:bold><jats:italic>Conclusions:<\/jats:italic><\/jats:bold><\/jats:title><jats:p>Based on review of the literature, the authors hypothesize that there is a pathogenetically related spectrum of skin-covered dorsal mass lesions, often associated with spinal dysraphism. These consist of a major lipomatous component and a variety of mature germ layer derivatives that can vary widely in their degree of anatomical organization from case to case.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0317167100008738","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T15:17:26Z","timestamp":1418397446000},"page":"250-254","source":"Crossref","is-referenced-by-count":12,"title":["Lipomatous Lumbar Mass with an Attached Digit and Associated Split Cord Malformation"],"prefix":"10.1017","volume":"35","author":[{"given":"CMH","family":"Snelling","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PM","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RML","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JP","family":"Rossiter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"key":"S0317167100008738_ref012","first-page":"297","article-title":"Accessory arm - dysraphism or disparity?","volume":"74","author":"Humphreys","year":"1991","journal-title":"Case report. 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