Abstract
Objects and methods
In this study, we demonstrate the morphological change in two cases of lumbosacral lipoma during the first few months of life using a three-dimensional Fourier transformation-constructive interference in a steady-state (CISS) sequence that enables high-resolution images to be obtained with excellent contrast between cerebrospinal fluid (CSF), spinal roots, and lipoma.
Results
The CISS images clearly demonstrated the dynamic morphological changes such as lipoma growth observed in both cases and increased tethering effect in the case with lipomyelomeningocele.
Conclusion
We have to keep in mind the potential for these morphological changes of the spinal lipoma during the first few months of life.
Similar content being viewed by others
References
Agraharkar A, McGillicuddy G, Ahuja T, Agraharkar M (2000) Growth of intramedullary lipoma in a renal transplant recipient. Transplantation 69:1509–1511
Aoki N (1990) Rapid growth of intraspinal lipoma demonstrated by magnetic resonance imaging. Surg Neurol 34:107–110
Byrne RW, Hayes EA, George TM, McLone DG (1995) Operative resection of 100 spinal lipomas in infants less than 1 year of age. Pediatr Neurosurg 23:182–186
Endoh M, Iwasaki Y, Koyanagi I, Hida K, Abe H (1998) Spontaneous shrinkage of lumbosacral lipoma in conjunction with a general decrease in body fat: case report. Neurosurgery 43:150–152
Giudicelli Y, Pierre-Kahn A, Bourdeaux AM, de Mazancourt P, Lacasa D, Hirsch JF (1986) Are the metabolic characteristics of congenital intraspinal lipoma cells identical to, or different from normal adipocytes? Child’s Nerv Syst 2:290–296
Hashiguchi K, Morioka T, Fukui K, Miyagi Y, Mihara F, Yoshiura T, Nagata S, Sasaki T (2005) Usefulness of constructive interference in steady-state (CISS) MR imaging in the presurgical examination for lumbosacral lipoma. J Neurosurg (6 Pediatrics) 103:537–543
Knittle JL, Timmers K, Ginsberg-Fellner F, Brown RE, Katz DP (1979) The growth of adipose tissue in children and adolescents. Cross sectional and longitudinal studies of adipose cell number and size. J Clin Invest 63:239–246
Koyanagi I, Iwasaki Y, Hida K, Abe H, Isu T, Akino M, Aida T (2000) Factors in neurological deterioration and role of surgical treatment in lumbosacral spinal lipoma. Child’s Nerv Syst 16:143–149
Moriomoto K, Takemoto O, Wakayama A (2003) Multiplication of infantile spinal lipomas after surgical untethering. J Neurosurg (Spine 3) 98:285–287
Pierre-Kahn A, Zerah M, Renier D, Cinalli G, Sainte-Rose C, Lellouch-Tubiana A, Brunelle F, Le Merrer M, Giudicelli Y, Pichon J, Kleinknecht B, Nataf F (1997) Congenital lumbosacral lipomas. Child’s Nerv Syst 13:298–335
Ramli N, Cooper A, Jaspan T (2001) High resolution CISS imaging of the spine. Br J Radiol 74:862–873
Rosahl SK, Kassem O, Piepgras U, Hellwig D, Samii M (2005) High-resolution constructive interference in steady-state imaging in tethered cord syndrome: technical note. Surg Neurol 63:372–374
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Morioka, T., Hashiguchi, K., Yoshida, F. et al. Dynamic morphological changes in lumbosacral lipoma during the first months of life revealed by constructive interference in steady-state (CISS) MR imaging. Childs Nerv Syst 23, 415–420 (2007). https://doi.org/10.1007/s00381-006-0272-7
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-006-0272-7