In our images in clinical medicine, a five week old boy was brought to the hospital with a painful scalp lump that had been present since birth on examination, there was a tense non pulsatile round mass on the occiput surrounded by a ring of dark coarse hair consistent with the hair collar sign seen with neural tube defects.在我們的臨床醫學影像中,有一位五週大的男嬰,因為出生以來頭部有個疼痛的腫塊而被送醫,檢查發現後腦勺有一個緊繃、無搏動的圓形腫塊,周圍圍繞著一圈深色粗糙的毛髮,這與神經管缺陷常出現的毛領徵象一致。