Lumbosacral lipomas: critical survey of 26 cases submitted to laminectomy.

Lassman, L. P.; James, C

doi:10.1136/jnnp.30.2.174

Cited by 100 publications

(34 citation statements)

References 11 publications

(12 reference statements)

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“…Several authors who operated on symptomatic patients have stated that very few of them achieved total regression of their deficits. It is harder to achieve recovery of bla dder function than of motor function [2][3][4][5][6]11,13 . These characteristics were also observed throughout our clinical experience.…”

Section: Discussionmentioning

confidence: 99%

“…Lipomyelomeningocele is often used as a general term for all lumbosacral lipomas, but these should be distinguished from intramedullary lipoma without spinal dysraphism [1][2][3][4][5][6][7][8][9][10][11] . Over the last few years, several neurosurgeons have reported their experiences with the treatment of lipomyelomeningoceles, in the literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] . Nevertheless, little attention has been paid to this subject within Brazilian settings , which motivated us to review and present the cases of this pathological condition treated by our medical team, and to assess the safety and efficiency of microsurgical removal of medullary lipomas and the degree of relief from the traction that the lipoma exerts on the medulla.…”

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confidence: 99%

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Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients

Lynch¹,

Correa²,

Pereira³

2011

Arq. Neuro-Psiquiatr.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients

Lynch¹,

Correa²,

Pereira³

2011

Arq. Neuro-Psiquiatr.

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“…4,5 Intradural dermoid cysts have been rarely reported among intraspinal tumors. [6][7][8][9] In this report, we describe a rare case of adult onset TCS associated with an intradural dermoid cyst.…”

Section: Introductionmentioning

confidence: 99%

Adult onset tethered cord syndrome associated with intradural dermoid cyst. A case report

et al. 2006

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Study design: A case report and a review of literature. Objectives: To describe a rare case of adult onset tethered cord syndrome associated with intradural dermoid cyst. Setting: General Orthopedics, Japan. Methods: A 50-year-old woman was referred to us because of right leg pain and pollakiuria. Neurological examinations and radiological assessments including myelography, computerized tomography scan and Magnetic resonance image were carried out. We diagnosed it as the adult onset tethered cord syndrome associated with an intradural cystic lesion. Results: The cystic lesion was totally removed following laminectomy from L5 through S4. Histologically, the tumor was diagnosed as a dermoid cyst. Conclusions: Intradural dermoid could produce adult onset tethered cord syndrome, but it was not reported in the English literatures to our knowledge.

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“…22 In the 1960s, many neurosurgeons recognized clinical symptoms including enuresis, foot deformities, scoliosis, progressive neurological symptoms due to various causes, and other presentations of occult spinal dysraphism, and several surgical series with satisfying results were published. 25,49 Thus, increasingly, clinicians began to differentiate between the various causes of TCS, and many emphasized the progressive deterioration in function while stressing the value of prophylactic surgery. 5,18 In 1975, pediatric neurosurgeon Frank Anderson published a series of 75 patients with occult spinal dysraphism and TCS, in which excellent surgical results and improvement of pain had been achieved.…”

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confidence: 99%

History of the current understanding and management of tethered spinal cord

Safavi–Abbasi

Mapstone

Archer

et al. 2016

SPI

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An understanding of the underlying pathophysiology of tethered cord syndrome (TCS) and modern management strategies have only developed within the past few decades. Current understanding of this entity first began with the understanding and management of spina bifida; this later led to the gradual recognition of spina bifida occulta and the symptoms associated with tethering of the filum terminale. In the 17th century, Dutch anatomists provided the first descriptions and initiated surgical management efforts for spina bifida. In the 19th century, the term “spina bifida occulta” was coined and various presentations of spinal dysraphism were appreciated. The association of urinary, cutaneous, and skeletal abnormalities with spinal dysraphism was recognized in the 20th century. Early in the 20th century, some physicians began to suspect that traction on the conus medullaris caused myelodysplasia-related symptoms and that prophylactic surgical management could prevent the occurrence of clinical manifestations. It was not, however, until later in the 20th century that the term “tethered spinal cord” and the modern management of TCS were introduced. This gradual advancement in understanding at a time before the development of modern imaging modalities illustrates how, over the centuries, anatomists, pathologists, neurologists, and surgeons used clinical examination, a high level of suspicion, and interest in the subtle and overt clinical appearances of spinal dysraphism and TCS to advance understanding of pathophysiology, clinical appearance, and treatment of this entity. With the availability of modern imaging, spinal dysraphism can now be diagnosed and treated as early as the intrauterine stage.

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Lumbosacral lipomas: critical survey of 26 cases submitted to laminectomy.

Cited by 100 publications

References 11 publications

Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients

Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients

Adult onset tethered cord syndrome associated with intradural dermoid cyst. A case report

History of the current understanding and management of tethered spinal cord

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