This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Murray Feingold, MD

Am J Dis Child. 1984;138(1):89-90.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Denouement and Discussion

Lipomeningocele

Manifestations

Located in the lumbosacral area is a mass (a lipoma) that varies in size and has a soft consistency. A hemangioma, skin dimple, or tuft of hair may be present on the skin covering the lipoma. Although the mass may appear small, the intraspinal lipoma can be extensive. Neurologic signs vary from no findings to progressive neurologic loss usually involving the legs, bladder, and anal sphincter. Roentgenographic examination of the spine shows widening of the interpedicular distance, absent laminae and spinous processes, and various fusion anomalies of the vertebrae. Computed tomographic studies with metrizamide injected into the subarachnoid space (a myelogram) outlines the lipoma and its attachment to the spinal cord. The lumbar spinal cord is tethered posteriorly in a lower than normal position.

Genetics

Because the type of inheritance pattern, if any, is not known, the risk of recurrence is uncertain. Prenatal diagnosis by . . . [Full Text PDF of this Article]

Author Affiliations
From the Boston Floating Hospital.

Footnotes
Reprint requests to Boston Floating Hospital, Box 300,171 Harrison Ave, Boston, MA 02111 (Dr Feingold).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?