Case contributed by Dr Bruno Di Muzio


Backache and bladder incontinence.

Patient Data

Age: 14
Gender: Female

MRI Lumbosacral spine

MRI spine showing sacral spina bifida associated with a low lying cord (level of S1) and the placode–lipoma interface lying within the spinal canal.

Enlargement of the right S2/3 foramen by fat tissue.

Case Discussion

This case illustrates a lipomyelocele which is a common closed spinal dysraphism and, as in this case, is usually associated with a tethered low lying cord.

The main differentiating feature between a lipomyelocele and lipomyelomeningocele is the position of the placode–lipoma interface, inside or outside the spinal canal, respectively.

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Case information

rID: 39468
Case created: 6th Sep 2015
Last edited: 23rd Apr 2017
System: Spine
Inclusion in quiz mode: Included

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