Lipomyelocele

Case contributed by Sepehr Haghighi
Diagnosis certain

Presentation

Mass sensation in the back

Patient Data

Age: 14 months
Gender: Male

Lumbar spine

mri

Evidence of sacral level dysraphism covered with skin and subcutaneous fatty tissue is noted. 

The neural placode-lipoma interface is located within spinal canal.

Associated tethered cord and syrinx are visible.

These findings are compatible with lipomyelocele.

Case Discussion

Lipomyelocele is one of the most common closed spinal dysraphism. It is seen in the thoracolumbar region and usually presents as a fatty subcutaneous mass.

Posterior spinal defect noted which is covered with skin and shows interspersed lipomatous tissue. The neural placode-lipoma interface lies within the spinal canal or at its edge with normal anterior subarachnoid space.

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