Lateral lower thoracic lipomyelomeningocele: a case report (original) (raw)
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Lipomyelomeningocele Lumbosacral: A Case Report
Lipomyelomeningocele (LMMC) is a type of congenital occult spinal dysraphism consisting of the presence of lipomatous tissue attached to the dorsal spinal cord, which protrudes though a spinal defect along with the menings or spinal cord to form a posterior mass under the skin. LMMC is the commonest cause of congenital tethering (tethered cord syndrome) and causes neurological deterioration due to the conus medullaris and root ischemia. Here we presented a 6 year old girl with a lump over the back region since birth. The lump was progressively increasing in size. There was history of urinary and fecal incontinence since birth. Local examination of the lumbosacral region revealed a single lump with no redness over it, spherical in shape, 12×10 cm in size, soft consistency, and fixed. CT Scan of lumbosacral spine was done which revealed soft tissue mass at lumbosacral that connected with defect canal sacral from L5 until S2. We diagnosed patient with lipomyelomeningocele. Surgery was performed and there are no post operative complications and now after 1 month of surgery the symptoms were improved. Lipomyelomeningocele is rare case in our Department. Surgical treatment is indicated because the patient had urinary disturbance. There are no post operative complications and now after 1 month of surgery the symptoms were improved.
Scholars Journal of Medical Case Reports, 2021
Lumbosacral lipomasrepresent the most common forms of occult spinal dysraphism. Lipomyelomeningocele is a rare birth defect of the spine. It's a lipoma that is tightly attached to the dorsal surface of a neural placode and extend dorsally through spina bifida to be continuous with subcutaneous fat. MRI plays an essential role in the diagnosis and treatment. We report the case of an 18-month-old infant in whom we detected a lipomyelomeningocele during the exploration of scoliosis.
Prenatal diagnosis of lipomyelomeningocele by ultrasound and magnetic resonance imaging (MRI)
Clinical and Experimental Obstetrics & Gynecology, 2015
Objective: The authors report a case of a lipomyelomeningocele with tethered cord, revealed on prenatal ultrasonography and confirmed by fetal magnetic resonance imaging (MRI). Materials and Methods: A 32-year-old woman, gravida 1 para 1 underwent the routine second trimester prenatal ultrasound scan at 22 +5 weeks of gestation at the present hospital. Results: The scan indicated an echoic semisolid subcutaneous mass covered by skin, posterior to the lumbosacral spinal canal of the fetus. Based on the findings indicating occult dysraphism, a fetal MRI examination was conducted, revealing that the mass was extending to the spinal cord, tethering the cauda equina. The diagnosis of lipomyelomeningocele was established. Conclusion: Lipomyelomeningocele is a form of closed neural tube defect with unclear predisposing factors. Its prevalence ranges between 0.3 and 0.6 per 10,000 live births. It leads to progressive conus tethering with associated neurological, urinary, and gastrointestinal deficits, demonstrating the importance of prenatal diagnosis.
The spectrum of musculoskeletal problems in lipomyelomeningocele
Journal of Children's Orthopaedics, 2013
Purpose Patients with lipomyelomeningocele (LMMC) represent a unique population within the spectrum of spinal dysraphism. The natural history of LMMC remains poorly defined. The description and prevalence of the presenting orthopaedic clinical signs and symptoms for LMMC have been infrequent and often documented only in general terms. The goal of this study is to define the patterns and prevalence of presenting clinical musculoskeletal signs and symptoms in LMMC patients. Methods This study was a retrospective review of charts of all patients identified as having LMMC in our spina bifida clinic. Patient charts with incomplete data or diagnoses other than LMMC were excluded from the analysis. Data collected included age at initial tethered cord release (TCR); repeat TCR; limb length discrepancy; foot deformities; asymmetry of motor and sensory deficits; presence of scoliosis; orthotic needs; assistive devices; functional status. Results We identified 32 patients with LMMC (21 female ...
Cervical lipomyelomeningocele: case Illustration
Neurocirugía, 2007
Cervical lipomyelomeningocele is a rare congenital spinal pathology. Lipomyelomeningocele is the commonest cause of congenital tethering, which causes neurological deterioration due to the conus medullaris and root ischemia. Early intervention is recommended even in cases with normal neurological examinations in order to prevent deterioration but our patient with cervical lipomyelomeningocele had a normal neurological examination despite his age (22 year-old) and had no urodynamic dysfunction.
Identical twins with lumbosacral lipomyelomeningocele
Journal of Neurosurgery: Pediatrics, 2015
Lipomyelomeningocele, a congenital spine defect, is presented as skin-covered lipomatous tissue that attaches to the cord in different ways according to its subtypes. Unlike other types of neural tube defects, the exact cause of this birth defect has not been confirmed yet, but it is proposed to be a multifactorial disease with involvement of both genetic and environmental factors. The authors describe identical twins with lipomyelomeningocele of the same subtype and location without any familial history of similar abnormality. Therefore, the same genetic and/or environmental risk factors could have played a part in their condition.
Lipomyelomeningocele: pathology, treatment, and outcomes
Neurosurgical Focus, 2012
L ipomyeLomeningoceLe lies within the spectrum of closed neural tube defects. It represents a complex disorder that may present with neurological deficits secondary to the inherent tethered cord. Treatment strategies vary with subtype, neurological function, and goals of surgery. We present a review of lipomyelomeningocele including embryology, evaluation, treatments, and outcomes.