[Lumbosacral intraspinal lipomas associated or not with a tethered cord syndrome (series of 8 cases)].
The authors report a surgical experience on eight case of intra spinal lipomas. These lumbo-sacral malformations belong to post-neurulation defect, in such conditions spinal cord undergoes tethering while child growing that lead to a slow neurological disturbance. Through this study, authors show that female is more involved than male (5/3. On 6 cases the diagnosis have been made before the age of 2 years old. Three groups of signs characterize dramatically intra spinal lipomas: skin-median lumbo-sacral stigmata (8 cases) such as hypertrichosis, nevi etc. neuro-orthopedic disturbance(3 cases): club foot, paraparesis. sphincter disturbance: vesical or anal incontinence. In the lack of C.T. scan and M.R.I. contrast medium myelography confirm the diagnosis. Surgical excision lead to characterization of 4 extra dural lipomas, one sub dural, and 3 mixed lipomas. 75% of the patient improved well. One dealing with this kind of pathology must avoid the misdiagnosis of enuresis.
Sakho
Y
Y
Clinique Neurochirurgicale chu de Fann.
Badiane
S B
SB
Kabre
A
A
Ba
S
S
Ba
M C
MC
Gueye
E M
EM
Diene
S
S
Gueye
M
M
D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D008067:Lipoma / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D008297:Male; D009123:Muscle Hypotonia / Q000209:etiology; D010243:Paralysis / Q000209:etiology; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D012867:Skin / Q000473:pathology; D016136:Spina Bifida Occulta / Q000209:etiology*; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology
Les lipomes intra-rachidiens lombo-sacrés associés ou non à un syndrome de la moelle attachée (série de 8 cas).