Congenital midline spinal hamartomas are relatively rare. Patients harborin
g this anomaly are generally asymptomatic, but present with an overlying sk
in anomaly. MR imaging depicts a mass that is isointense with the spinal co
rd on all sequences, and may show a dermal sinus tract that tethers the cor
d at the level of the lesion. We report the MR features of congenital midli
ne spinal hamartoma in two children.