Back to Search
Start Over
Adult cervicothoracic lipomyelomeningocele
- Source :
- Journal of Clinical Neuroscience. 32:157-159
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Lipomyelomeningocele (LMM) as a cause of tethered cord syndrome (TCS) commonly presents in childhood in the lumbosacral spine. Patients frequently present with cutaneous manifestations, progressive neurological deterioration, bladder dysfunction, and intractable pain. Early surgical intervention with untethering is recommended for symptomatic patients. We report an unusual case of a woman who presented with a subcutaneous lump, pain, and neurological decline found to have a cervicothoracic LMM. The patient underwent laminectomy and subtotal resection of the mass; seventeen years later she was confined to a wheelchair with severe neurological decline ultimately requiring three additional attempts at surgical excision and repair. This case emphasizes the need for early recognition of and intervention in adult patients with LMM.
- Subjects :
- medicine.medical_specialty
Meningomyelocele
animal structures
medicine.medical_treatment
Thoracic Vertebrae
030218 nuclear medicine & medical imaging
Young Adult
03 medical and health sciences
0302 clinical medicine
Physiology (medical)
medicine
Humans
Neural Tube Defects
Young adult
Tethered Cord
Unusual case
Adult patients
business.industry
Laminectomy
General Medicine
Surgery
Treatment Outcome
medicine.anatomical_structure
Neurology
Thoracic vertebrae
Cervical Vertebrae
Female
Intractable pain
Neurology (clinical)
business
030217 neurology & neurosurgery
Cervical vertebrae
Subjects
Details
- ISSN :
- 09675868
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Neuroscience
- Accession number :
- edsair.doi.dedup.....865083b43962b432a6110bc0e9711c0a