Lipomyelocele

Case contributed by A.Prof Frank Gaillard

Presentation

Withheld.

MRI

The spinal cord shows normal calibre and signal intensity but extends abnormally low, reaching down to the level of L5. Between L2/3 and S1, a fatty mass is shown dorsal to the distal cord and contiguous with subcutaneous fat through a bony defect posteriorly. The mass extends over a distance of 5.6 cm craniocaudal. Superiorly, it is a little more prominent to the right of the cord than to the left. The fatty mass-neural placode interface is within the spinal canal. 

Case Discussion

The spinal cord shows normal calibre and signal intensity but extends abnormally low, reaching down to the level of L5 (tethered). Between L2/3 and S1, a fatty mass is shown dorsal to the distal cord and contiguous with subcutaneous fat. The mass extends over a distance of 5.6 cm craniocaudal. Superiorly it is a little more prominent to the right of the cord than to the left.

Findings in keeping with a lipomyelocele with tethered cord.

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Case information

rID: 5673
Case created: 11th Mar 2009
Last edited: 12th Mar 2017
Inclusion in quiz mode: Included

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