title: A nondysraphic paraspinal mass and a ventricular septal defect: unusual components of diabetes-induced mesodermal derangement.
abstract: Solitary paraspinal masses in the pediatric age group commonly occur secondary to spinal dysraphism, chronic inflammatory conditions, and tumors. We describe the unusual case of a 10-year-old boy with a nondysraphic, paraspinal mass that had occurred secondary to congenital spinal epidural lipomatosis (SEL) in the setting of poorly controlled maternal type-I diabetes mellitus. The mass was picked up along with a ventricular septal defect (VSD) on an antenatal ultrasonogram. This is the first report in literature of SEL presenting as a solitary paraspinal mass at birth, and in the unusual setting of an antenatal mesodermal derangement that simultaneously engendered a VSD.
authors: Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, India. sumit.thakar@gmail.com
authors: Sumit
authors: S
authors: Thakar
authors: Sunil V
authors: SV
authors: Furtado
authors: Nandita
authors: N
authors: Ghosal
authors: Alangar S
authors: AS
authors: Hegde
mesh_terms: D002648:Child; D048909:Diabetes Complications; D003922:Diabetes Mellitus, Type 1 / Q000473:pathology; D004824:Epidural Space / Q000473:pathology; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008068:Lipomatosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008297:Male; D008648:Mesoderm / Q000002:abnormalities*; D064170:Paraspinal Muscles / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D011254:Pregnancy in Diabetics; D011297:Prenatal Exposure Delayed Effects / Q000209:etiology / Q000473:pathology*; D013122:Spinal Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D016135:Spinal Dysraphism / Q000209:etiology / Q000473:pathology*