title: [Lumbosacral intraspinal lipomas associated or not with a tethered cord syndrome (series of 8 cases)].
abstract: 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.
authors.affiliation: Clinique Neurochirurgicale chu de Fann.
authors.forename: Y
authors.initials: Y
authors.lastname: Sakho
authors.forename: S B
authors.initials: SB
authors.lastname: Badiane
authors.forename: A
authors.initials: A
authors.lastname: Kabre
authors.forename: S
authors.initials: S
authors.lastname: Ba
authors.forename: M C
authors.initials: MC
authors.lastname: Ba
authors.forename: E M
authors.initials: EM
authors.lastname: Gueye
authors.forename: S
authors.initials: S
authors.lastname: Diene
authors.forename: M
authors.initials: M
authors.lastname: Gueye
mesh_terms: 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
vernacular_title: Les lipomes intra-rachidiens lombo-sacrés associés ou non à un syndrome de la moelle attachée (série de 8 cas).