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Lateral lipomyelomeningocele of the hemicord with split cord malformation type I revealed by 3D heavily T2-weighted MR imaging

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Abstract

Background

Lipomyelomeningocele (LMMC) is defined by a low-lying tethered spinal cord protruding posteriorly from the spinal canal and terminating in a lipomatous mass in the subcutaneous meningeal sac. The coexistence of LMMC with split cord malformation (SCM) is rare.

Clinical presentation

We report on a patient with laterally protruded LMMC arising from the hemicord of SCM type I. Direct coronal and axial views (instead of sagittal views) of 3D heavily T2-weighted MR imaging (3D–hT2WI) clearly demonstrated the topographical relationship between both of the hemicords, the bony septum, and nerve roots in the right subcutaneous meningeal sac.

Conclusion

Combined use of axial and coronal images of 3D–hT2W is useful for visualization and surgery of such a complicated anomaly.

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Authors and Affiliations

  1. Department of Neurosurgery, Fukuoka Children’s Hospital, 5-1-1 Kashii-teriha, Higashi-ku, Fukuoka, 813-0017, Japan

    Nobuya Murakami & Takato Morioka

  2. Department of Neonatology, Fukuoka Children’s Hospital, Fukuoka, Japan

    Masako Ichiyama

  3. Department of Pediatric Neurology, Fukuoka Children’s Hospital, Fukuoka, Japan

    Ryoko Nakamura

  4. Department of Clinical Radiology, Fukuoka Children’s Hospital, Fukuoka, Japan

    Nobuko Kawamura

Authors
  1. Nobuya Murakami
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  2. Takato Morioka
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  3. Masako Ichiyama
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  4. Ryoko Nakamura
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  5. Nobuko Kawamura
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Corresponding author

Correspondence to Nobuya Murakami.

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The authors declare that they have no conflicts of interest.

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Informed consent for the publication of the case report was obtained from the parents of the baby girl.

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Murakami, N., Morioka, T., Ichiyama, M. et al. Lateral lipomyelomeningocele of the hemicord with split cord malformation type I revealed by 3D heavily T2-weighted MR imaging. Childs Nerv Syst 33, 993–997 (2017). https://doi.org/10.1007/s00381-017-3350-0

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  • DOI: https://doi.org/10.1007/s00381-017-3350-0

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