Radiologic and histopathologic findings in a rare case of complex occult spinal dysraphism with association of a lumbar fibrolipoma, neurenteric cyst and tethered cord syndrome.
We present the case of a 60-year-old farmer who reported non-specific back pains for the past 30 years. Increasing paralysis of the left leg led to hospitalization. A complex occult spinal dysraphism comprising a fibrolipoma of the conus medullaris, an neurenteric cyst, and a tethered cord syndrome was diagnosed and operated on. The radiological and histological findings are demonstrated.
Freund
M
M
Department of Radiology, University of Kiel, Arnold-Heller-Strasse 9, D-24 105 Kiel, Germany.
Thale
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Hutzelmann
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D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy; D008067:Lipoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009192:Myelography; D016136:Spina Bifida Occulta / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013168:Spondylolisthesis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed