Tethered cord with filum terminale lipoma and sacrococcygeal dysgenesis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Neurogenic bladder.

Patient Data

Age: 15 years
Gender: Female

The MRI sequences demonstrate:

  • low position of the conus medullaris at L5-S1 level with a fusiform fatty lesion of high signal on T1 and T2 attenuated on STIR sequence, located below S2 level in keeping with a lipoma of the filum terminale
  • hypoplastic S3 with agenesis of the rest of the sacral vertebrae and coccyx.

Case Discussion

MRI features of a tethered cord with lipoma of the filum terminale and sacrococcygeal dysgenesis.

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