A Tethered Spinal Cord with Intraspinal Lipoma in a 40-year-old Woman who has Intractable Pain of the Foot: Case Report.
- Author:
Kang June YOON
1
;
Kyu Ho LEE
;
Bong Sub CHUNG
;
Sae Moon OH
;
Seong Koo KANG
Author Information
1. Department of Neurosurgery, Hallym University The Faculty of Medicine Kangdong, Sungshim Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Tethered spinal cord;
Intraspinal lipoma;
Intractable pain;
Dorsal rhizotomy;
Untethered;
Thickened arachnid septum
- MeSH:
Adult*;
Analgesics;
Ankle;
Arachnoid;
Female;
Foot*;
Humans;
Hypesthesia;
Knee;
Laminectomy;
Leg;
Lipoma*;
Neurologic Examination;
Pain, Intractable*;
Paresthesia;
Parturition;
Rhizotomy;
Sacrococcygeal Region;
Spinal Cord*
- From:Journal of Korean Neurosurgical Society
1987;16(4):1287-1292
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 40-year-old female patient who had tethered spinal cord with intraspinal lipoma and intractable pain of the lower leg and foot is reported. The pain started 5 years ago and exaggerated recently. A pea-size mass had been noted since birth at sacral region, which was excised 2 months prior to admission at the other clinic. Neurological examination revealed diffuse muscular wasting of the left foot, especially the sole, hypesthesia of the left sole with dysesthesia, bilaterally increased knee jerks, and absent left ankle jerk. The patient underwent L5 laminectomy, subtotal removal of extradural, intradural and intramedually lipoma with dural repair, and dorsal rhizotomy of ipsilateral L5 and S1 roots. At surgery, the neural elements were untethered with mass removal, adhesiolysis, and division of thickened arachnoid septum. The pain improved much after and was tolerable with some analgesics.
