Lipomyelomeningocele with tethered cord

Case contributed by Dr Amr Farouk

Presentation

Long history of urinary infection and poor voiding control.

Patient Data

Age: 18 years old
Gender: Female

Skin-covered sacral spinal defect containing lipomatous tissue, with the neural placode-lipoma interface lying outside the spinal canal. There is enlargement of the subarachnoid space and posterior extrusion of neural elements through the defect. Associated low conus medullaris (at L4 level) and thickened filum terminale (4 mm).

Contracted urinary bladder with diffuse vesical mural thickeningneurogenic bladder.

 

Case Discussion

Typical MRI of lipomyelomeningocele with tethered cord.

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Case information

rID: 54658
Case created: 20th Jul 2017
Last edited: 23rd Jul 2017
Inclusion in quiz mode: Included

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