Lipomyelocele with tethered cord

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Neurogenic bladder.

Patient Data

Age: 8 years
Gender: Male

Posterior sacral midline lipomatous mass, containing neural tissue (placode-lipoma) well-demonstrated on axial sequences, extending into the spinal canal through a closed spinal dysraphism with low lying cord at L5-S1. The filum terminale is attached to the intraspinal fatty component which is attenuated on fat sat sequences.

Distended bladder with thickened wall, pseudo-diverticula hydroureters (neurogenic bladder).

No associated vertebral congenital abnormalities.

Case Discussion

MRI features of a lipomyelocele with tethered cord.

Lipomyelocele also known as lipomyeloschisis ​is considered as one of the most common closed spinal dysraphism.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.