A Lipomyelomeningocele with Tethered Cord Syndrome Associated with Scoliosis and Clubfoot: A Rare Case Report
Keywords:
Lipoma, Myelomeningocele, Tethered cord, Clubfoot, Dethering of cord, Excision of tumor, Repair of sacAbstract
Background: A lipoma in limbosanal region can be associated with myelomeningocele with tethered cord. Tethered cord means abnormally low conus medullaris with abnormally thick filum terminale attached to lower sacral region.
Objective: The case was discussed because there is rare association between lipomyelomeningocele with tethering of cord, scolosis and clubfoot. The operation was done by S shaped transverse incision crossing over the middle of the lump. Excision of lipoma was done. Neural placode was identified and dethering of cord and repair of sac was done.
Results: The muscle power after surgery was improved. There was no bladder disturbance and gait was intact.
Conclusion: There was rare association of many congenital anomalies. Early diagnosis and surgery prevent future cord infarction and scoliosis, due to undue traction of cord.
DOI: http://dx.doi.org/10.11566/cmoshmcj.v12i1.27
Chatt Maa Shi Hosp Med Coll J 2013; 12(1): 41-44
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