Pahari, SoumyaThapa, SurakshaBhattarai, BibekPradhan, BishalBhandari, Paawan BahadurBaniya, Purushottam2025-08-292025-08-292023https://hdl.handle.net/20.500.14572/2178Soumya 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, NepalAbstract 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.en-USOther