Abstract
We experienced a rare case of lipomyelomeningocele diagnosed at birth by magnetic resonance imaging which transformed the radiological appearance after 2 months into the transitional-type spinal lipoma with rapid increase in size of lipoma. Intraoperative findings revealed the presence of the dural sac extended dorsally outside the vertebral canal, which was characteristic of lipomyelomeningocele. Although there have been several reports showing that the size of spinal lipoma changed during development, there have been no reports which demonstrated alteration of radiological subtype with rapid increase of lipoma. Herein, we describe the first case of lumbosacral lipoma which changed radiological subtype from lipomyelomeningocele into transitional-type spinal lipoma.
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References
Arai H, Sato K, Okuda O, Miyajima M, Hishii M, Nakanishi H et al (2001) Surgical experience of 120 patients with lumbosacral lipomas. Acta Neurochir (Wien) 143(9):857–864
Chapman PH (1982) Congenital intraspinal lipomas: anatomic considerations and surgical treatment. Childs Brain 9(1):37–47
Dubowitz V, Lorber J, Zachary RB (1965) Lipoma of the cauda equine. Arch Dis Child 40:207–213
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(1):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? Childs Nerv Syst 2(6):290–296
Kim KH, Lee YH, Park YS, Kim DS (2009) Rapidly regrowing lipoma in lipomeningomyelocele: a case report. Childs Nerv Syst 25(9):1149–1151
Morimoto K, Takemoto O, Wakayama A (2003) Multiplication of infantile spinal lipomas after surgical untethering. Report of two cases. J Neurosurg 98(3 Suppl):285–287
Morioka T, Hashiguchi K, Yoshida F, Nagata S, Miyagi Y, Mihara F et al (2007) 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(4):415–420
Pierre-Kahn A, Zerah M, Renier D, Cinalli G, Sainte-Rose C, Lellouch-Tubiana A et al (1997) Congenital lumbosacral lipomas. Childs Nerv Syst 13(6):298–335
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Tamura, G., Ogiwara, H., Uematsu, K. et al. Alteration in radiological subtype of spinal lipoma: case report. Childs Nerv Syst 29, 1957–1959 (2013). https://doi.org/10.1007/s00381-013-2121-9
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DOI: https://doi.org/10.1007/s00381-013-2121-9