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MedPix® Home Page Search Patient Charts: Tethered spinal cord with terminal spinal lipoma URL for This Search


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Search Results for => Tethered spinal cord terminal lipoma <= Result Items 1 - 20
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Case ID: 13865

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DiagnosisTethered spinal cord with terminal spinal lipoma
History8 year old boy with increasing back pain and abnormal gait. History of back surgery shortly after birth
FindingsLumbosacral intraspinal lipoma tethering the spinal cord to the S1 segment Ultrasound done shortly after birth reveals tethered cord and associated intraspinal lipoma.
Differential DxDiastemetomyelia Dermoid Tumor Dysraphism Spina bifida
Discussion ... (continues ...)
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ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerAlice Boyd Smith :: Uniformed Services University - Editor Info
Case Accepted: 2011-02-28 12:41:26-05 :: Revised: 2011-02-28 12:49:32.243525-05 :: Submitted: 2011-02-25 16:29:13.892082-05
Case ID: 10753

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DiagnosisTethered spinal cord with terminal spinal lipoma.
HistoryBack pain, worse at night
FindingsLipoma of filum terminale with low lying conus at L2-3 level. No associated dysraphism or syrinx
Differential Dxlipoma epidermoid tumor dermoid tumor teratoma
Discussion ... (continues ...)
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ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerSteven J Goldstein :: University of Kentucky - Editor Info
Case Accepted: 2011-02-28 12:41:26-05 :: Revised: 2011-02-28 12:49:32.243525-05 :: Submitted: 2011-02-25 16:29:13.892082-05
Case ID: 8170

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DiagnosisTethered spinal cord with terminal spinal lipoma.
History2 mo female with sacral dimple.
FindingsUltrasound images demonstrate tethered spinal cord with echogenic mass at the level of the S2 vertebrae, likely a lipoma. No communication with skin surface. MRI reveals the conus medullaris at the level of S2. A lipoma is present at the termination of the spinal cord. A small dysraphic defect is seen at the posteroinferior sacrum with the lipoma extending through it.
Differential DxTethered cord with terminal spinal lipoma Spinal lipoma/lipomeningocele
Discussion ... (continues ...)
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ContributorChristin M Brown :: Naval Medical Center Portsmouth - Author Info
ReviewerShao-ru Cho :: Naval Medical Center Portsmouth - Editor Info
Case Accepted: 2011-02-28 12:41:26-05 :: Revised: 2011-02-28 12:49:32.243525-05 :: Submitted: 2011-02-25 16:29:13.892082-05
Case ID: 7030

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DiagnosisTethered spinal cord with terminal spinal lipoma.
History17 Year old who at age 10 underwent surgery fo a tethered cord.
FindingsLipoma at level L2 and Filum terminale. Cord rotated with fibrous band posteriorly at L2-3.
Differential DxExpected post surgical change versus retethering. Also, atypical dermoid is less likely given the history.
Discussion ... (continues ...)
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ContributorTheodore T Llanso :: Tripler Army Medical Center - Author Info
ReviewerGreg Petermann :: Tripler Army Medical Center - Editor Info
Case Accepted: 2011-02-28 12:41:26-05 :: Revised: 2011-02-28 12:49:32.243525-05 :: Submitted: 2011-02-25 16:29:13.892082-05
Case ID: 2916

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DiagnosisTethered spinal cord with terminal spinal lipoma.
HistoryRight leg weakness and hyperreflexia.
FindingsSagittal T1-weighted images (Film 1) show the spinal cord extending all the way down to the sacral level. A lipoma sits in the most caudal aspect of the spinal canal, adherent to the most distal aspect of the cord. The distal spinal cord is extremely thin. The scans are otherwise unremarkable.
Differential Dx
Discussion ... (continues ...)
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ContributorNeuroradiology Learning File - © ACR :: ACR Learning File® - Author Info
Reviewer :: - Editor Info
Case Accepted: 2011-02-28 12:41:26-05 :: Revised: 2011-02-28 12:49:32.243525-05 :: Submitted: 2011-02-25 16:29:13.892082-05
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