Adult intradural lipoma with tethered spinal cord syndrome

Horrion, J; Houbart, MA; Georgiopoulos, A; Bottosso, N

doi:10.5334/jbr-btr.43

Cited by 8 publications

(3 citation statements)

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“…[13] The growth of body weight and the use of hormones may cause the increase of lipoma and increased symptoms of TCS. The low growth ability of lipoma also leads to the problem that whether the tumor should be removed completely or not.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatments on adult tethered cord syndrome

Gao

Kong

et al. 2016

Medicine

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To investigate effects of surgical treatment on adult tethered cord syndrome (TCS).A retrospective analysis of 82 adult patients (17 male cases, 82% and 24 female cases, 59%) with TCS treated by surgery was conducted between March, 2005 and December, 2015, with an average age of 31.6 years and average disease course of 6.7 years. All the 82 cases of patients received nerve electrophysiology monitoring assisted microsurgery. After surgery, all patients were followed up for an average of 2.5 years. Surgical effects were evaluated according to Hoffman grading system. As this is just a retrospective study that does not involve any interventions, ethical approval was not necessary according to the rules of the hospital.All patients were followed up, no death occurred. According to Hoffman grading system, the neurologic symptoms were improved in 22 patients (27%), stabilized in 60 patients (73%). Of 10 cases with lipoma tethered spinal cord, corresponding symptoms were improved in 2 cases. Of 32 cases with tethered spinal cord caused by dermoid cyst and epidermoid cyst, the symptoms were improved in 6 cases. Of 40 cases without occupying lesions of tethered spinal cord, the symptoms were improved in 14 cases. Besides, there was no deteriorated case.Surgical treatment on adult patients with TCS can improve the neurologic deficits which are associated with the course of disease, early treatment has much better curative effect.

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Section: Discussionmentioning

confidence: 99%

Surgical treatments on adult tethered cord syndrome

Gao

Kong

et al. 2016

Medicine

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“…Таким образом, МРТ является золотым стандартом диагностики, а основные МР-критерии фиксации спинного мозга обоснованы Horrion et al в 2014 г. [19]:…”

Section: мр-семиотика синдрома фиксированного спинного мозгаunclassified

Tethered spinal cord syndrome associated with spina bifida: clinical and radiological characteristics and indications for surgery (systematic review of the literature)

Ryabykh,

Gorchakov,

Kalashnikov

2024

Hir. pozvonoč.

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Objective. To analyze literature data on clinical and radiation characteristics of the tethered spinal cord syndrome in spina bifida and to define criteria for indications for surgical treatment.Material and Methods. A search for prospective cohort clinical studies evaluating the clinical and radiation picture and indications for surgicalcorrection of the tethered spinal cord syndrome associated with spina bifida, published in 2005–2023 was performed in the Pubmed, EMBASE, eLibrary and the Сochrane Library databases. The literature search was carried out by one researcher. The study was carried out in accordance with the international recommendations for writing systematic reviews and meta-analyses PRISMA. The levels of evidencefor reliability and grades of the strength of recommendations were evaluated according to the ASCO Guidelines.Results. A total of 394 literature sources were found in the databases. Duplicate materials (n = 81) have been removed. When non-fulltext articles were excluded, only 28 out of 251 remained studies met the inclusion criteria and were analyzed. According to the level of evidence, 18 of them were classified as B level, and 10 – as C level.Conclusion. The components of the tethered spinal cord syndrome are a dystopic spinal cord cone, a shortened fixed filum terminale, and the presence of a lumbosacral lipoma. At the same time, there are currently no clear criteria for the integral assessment of the clinical and morphofunctional state of patients, and the available scales are not specific. The described MRI criteria are limited by the level of evidence, but despite this, they reflect a high level of consensus among experts, including that on the defining indications for surgical spinal corduntethering. The lack of clear indications for surgical intervention and the debatability of performing preventive untethering of the spinal cord require further study of the problem with an emphasis on analyzing the criteria for tethered spinal cord syndrome.

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“…Lipomyelocele is the most common type of occult SB and often occurs in the lowest part of the spine. 2 Generally, the tethered spinal cord needs to be surgically untethered or released to prevent or minimize symptoms. 3 , 4 We present the case of a 23-year-old woman with a large lumbosacral lipomyelocele, located both inside and outside the spinal canal, associated with occult SB and tethered spinal cord.…”

Section: Introductionmentioning

confidence: 99%

Massive Lumbosacral Subcutaneous Exudate After Surgical Treatment of a Large Lipomyelocele

Gao

Kong²,

Yang³

et al. 2015

Medicine

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Lipomyelocele is an uncommon type of lipoma that occurs with spina bifida. We present the clinical course and therapeutic process of a female who underwent resection of a lipomyelocele and developed a massive lumbosacral subcutaneous exudate postoperatively. The therapeutic process is described in detail, and a review of the relevant literature on lipomyelocele is presented.A 23-year-old woman presented to our institution complaining of a large lumbosacral subcutaneous mass. She underwent surgical resection of the mass and untethering of the spinal cord under intraoperative neurophysiologic monitoring. A massive lumbosacral subcutaneous exudate developed postoperatively. After excluding cerebrospinal fluid (CSF) leakage, we placed a suction drain. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the editor of this journal. Because of this, there is no need to conduct special ethic review and the ethical approval is not necessary.Postoperative pathologic examination confirmed the diagnosis of lipomyelocele. Continuation of the negative-pressure drain for 1 week yielded >1000 mL of fluid. The patient recovered well and developed no further subcutaneous exudate.In a patient with massive lumbosacral subcutaneous exudate after surgical treatment of a large lipomyelocele, continuous negative-pressure drainage can be an effective treatment method after excluding CSF leakage.

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Adult intradural lipoma with tethered spinal cord syndrome

Cited by 8 publications

References 0 publications

Surgical treatments on adult tethered cord syndrome

Surgical treatments on adult tethered cord syndrome

Tethered spinal cord syndrome associated with spina bifida: clinical and radiological characteristics and indications for surgery (systematic review of the literature)

Massive Lumbosacral Subcutaneous Exudate After Surgical Treatment of a Large Lipomyelocele

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