Publication: Lipomeningocele with Tethered Cord Syndrome in an Adult: A Case Report
Date
2023
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 620 - 622
Publisher
Nepal Medical Association
Abstract
Abstract
Lipomeningocele is a closed neural tube defect characterized by the presence of spinal tissue within the spinal cord, with a junction between the spinal cord and a lipoma. It has a prevalence of 0.6 per 10,000 live births. A 29-year-old female presented to the outpatient clinic with complaints of weakness in both legs (more on the right) and tingling sensation and pain over her right thigh and legs for 1 year. She also mentioned swelling in her lower back since birth, which has been growing progressively since childhood. Magnetic resonance imaging of the spine revealed a low-lying spinal cord with the conus lying at the lower end of the L2 vertebral body. Spinal decompression with detethering of the cord and excision of the lipomeningocele was undertaken via a posterior midline incision. Prompt surgical intervention are crucial for symptom relief and prevention of neurological deterioration.
Description
Soumya Pahari
Department of Neurosurgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Suraksha Thapa
Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Bibek Bhattarai
People's Liberation Army Naval Medical University, Xiangyin Road, Shanghai, China
Bishal Pradhan
Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Paawan Bahadur Bhandari
Department of Neurosurgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Purushottam Baniya
Department of Neurosurgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Keywords
Identifier
https://doi.org/10.31729/jnma.8220