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Tethered spinal cord with double spinal lipomas.

Authors
Kim, MJ; Yoon, SH; Cho, KH; Won, GS
Citation
Journal of Korean medical science, 21(6):1133-1135, 2006
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
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.
MeSH terms
FemaleHumansInfantLipoma/diagnosis*Lipoma/surgery*Lumbosacral Region/surgery*Neural Tube Defects/diagnosis*Neural Tube Defects/surgery*Spinal Cord Neoplasms/diagnosis*Spinal Cord Neoplasms/surgery*Treatment Outcome
DOI
10.3346/jkms.2006.21.6.1133
PMID
17179703
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
AJOU Authors
윤수한조기홍원근수
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