Tethered cord with filum terminale lipoma and sacrococcygeal dysgenesis
Diagnosis almost certain
Presentation
Neurogenic bladder.
Patient Data
Age: 15 years
Gender: Female
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The MRI sequences demonstrate:
- low position of the conus medullaris at L5-S1 level with a fusiform fatty lesion of high signal on T1 and T2 attenuated on STIR sequence, located below S2 level in keeping with a lipoma of the filum terminale
- hypoplastic S3 with agenesis of the rest of the sacral vertebrae and coccyx.
Case Discussion
MRI features of a tethered cord with lipoma of the filum terminale and sacrococcygeal dysgenesis.