Lipoma of filum terminale
Citation, DOI & case data
50 year old lady with chronic lower spine pain. Background: diabetes
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Linear T1 hyper intense and T2 hypo intense intradural focus extending from L3 - S1 representing lipoma of filum terminale.
In most cases lipoma of filum terminale is incidental finding, however association with tethered cord syndrome is described in literature.
Disc bulge at the level of L3/L4, L4/L5 causing mild foraminal narrowing bilaterally.
Lipoma of filum terminale is a consequence of mesodermal cells migration error during embyogenesis.
As any adipose lesion it is best seen on T1 sequences.
In most cases lipoma of filum terminale is incidental finding of no clinical significance, however association with tethered cord syndrome is described in literature.
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