Tethered Spinal Cord with Double Spinal Lipomas.
10.3346/jkms.2006.21.6.1133
- Author:
Myeong Jin KIM
1
;
Soo Han YOON
;
Ki Hong CHO
;
Geun Soo WON
Author Information
1. Department of Neurosurgery, Ajou University, School of Medicine, San 5, Wonchon-dong, Youngtong-gu, Suwon, Korea. ee80@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Lipoma;
Spinal Dysraphism;
Tethered Cord Syndrome;
Neural Tube Defects
- MeSH:
Treatment Outcome;
Spinal Cord Neoplasms/*diagnosis/*surgery;
Neural Tube Defects/*diagnosis/*surgery;
Lumbosacral Region/*surgery;
Lipoma/*diagnosis/*surgery;
Infant;
Humans;
Female
- From:Journal of Korean Medical Science
2006;21(6):1133-1135
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although lumbosacral lipoma is reported to occur in 4-8 of 100,000 patients, and 66% of lipomyelomeningoceles in young patients are accompanied by hypertrophic filum terminale, it is very rare to find two isolated spinal lipomas simultaneously. A 3 month-old baby girl was admitted to the hospital for a protruding, non-tender, soft, subcutaneous 2.5 cm mass of the lumbosacral area that had been present since birth. Simple radiography showed a spinal posterior arch defect from L3 to L5, and magnetic resonance imaging (MRI) demonstrated two isolated spinal lipomas, a transitional type from L3 to L5, and a terminal type below S1 without dural defect. The cornus medullaris was severely tethered descending to the S1, but there was no cerebellar or brain stem herniation on the MRI. We suggest that the presence of a combined spinal lipoma should be a point for careful differentiation in an infant with spinal lipoma.
