A Lipomyelomeningocele with Tethered Cord Syndrome Associated with Scoliosis and Clubfoot: A Rare Case Report

Authors

  • Haradhan Deb Nath Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Kanak Kanti Barua Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Abu Naser Rizvi Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Hafizul Amin Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Abu Saleh Md Abu Obaida Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Habibur Rahman Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Sk Forhad Munir Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

Keywords:

Lipoma, Myelomeningocele, Tethered cord, Clubfoot, Dethering of cord, Excision of tumor, Repair of sac

Abstract

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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Published

2013-06-28

How to Cite

Nath, H. D., Barua, K. K., Rizvi, A. N., Amin, H., Obaida, A. S. M. A., Rahman, H., & Munir, S. F. (2013). A Lipomyelomeningocele with Tethered Cord Syndrome Associated with Scoliosis and Clubfoot: A Rare Case Report. Chattagram Maa-O-Shishu Hospital Medical College Journal, 12(1), 41–44. Retrieved from https://banglajol.info/index.php/CMOSHMCJ/article/view/15499

Issue

Section

Case Reports