Lipomyelocele

Case contributed by Sepehr Haghighi
Diagnosis probable

Presentation

Mass sensation in the low back.

Patient Data

Age: 1 year
Gender: Female
mri

Sacral dysraphism covered with skin and subcutaneous fatty tissue is seen. 

The neural placode-lipoma interface is located within the spinal canal associated with tethered cord and large synringohydromyelia.

These findings are compatible with lipomyelocele.

Case Discussion

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

There is usually associated tethered low lying cord or syrinx of terminal spinal cord.

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