Neurosurgical Review

, Volume 11, Issue 1, pp 59–65 | Cite as

Intraspinal lipomas in infancy and childhood causing a tethered cord syndrome

  • Dietmar Stolke
  • Matthias Zumkeller
  • Volker Seifert
Section on child neurosurgery

Abstract

The authors report on a series of 26 children with spina bifida occulta in combination with intraspinal lipoma and clinical signs of tethered cord syndrome. The age of the children at presentation ranged from 1 month to 12 years. The typical signs and symptoms consisted of skin lesions in the lumbar-sacral region, neurogenic foot deformities, and bladder and bowel disturbances.

The diagnosis was confirmed by neuroradiological investigations including lumbar myelography, computerized tomography, and only recently magnetic resonance imaging. Indications for surgery were based on the radiological evidence of intraspinal lipoma and tethered cord and especially on the clinical signs of neurological deterioration.

The results of the operative treatment are presented and the role of surgery before onset of symptoms as well as during the symptom-free interval is discussed.

Keywords

Intraspinal lipoma spina bifida occulta tethered cord syndrome 

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Copyright information

© Walter de Gruyter & Co 1988

Authors and Affiliations

  • Dietmar Stolke
    • 1
    • 2
  • Matthias Zumkeller
    • 1
  • Volker Seifert
    • 1
  1. 1.Neurosurgical ClinicMedical School HanoverHanoverWest Germany
  2. 2.Neurochirurgische KlinikMedizinische HochschuleHannover 61West Germany

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