Lumbosacral lipomyelomeningocele with anomalous osseous limb in a 3-month-old female

Abstract A patient with lipomyelomeningocele (known in utero) presented for MRI characterization prior to surgical procedure at three months of age. Cross-sectional imaging revealed a spinal dysraphism of the lower lumbar spine, with a posterior spinal defect spanning L4 to S2 subcutaneous fat intru...

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Bibliographic Details
Published in:Radiology case reports 2015, Vol.10 (1), p.1051, Article 1051
Main Authors: Wilkes, Sean L., MS, ALM, Choi, Jay J., MD, MSc, Rooks, Veronica J., MD
Format: Article
Language:English
Subjects:
Radiology
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Summary:Abstract A patient with lipomyelomeningocele (known in utero) presented for MRI characterization prior to surgical procedure at three months of age. Cross-sectional imaging revealed a spinal dysraphism of the lower lumbar spine, with a posterior spinal defect spanning L4 to S2 subcutaneous fat intrusion, and distal spinal cord extrusion. An osseous excrescence was also appreciated, articulating with the left iliac bone. This case demonstrates the youngest known lipomyelomeningocele with accessory limb and the abnormal growth of multiple tissue types at the site of spinal dysraphism—a potential consequence of dedifferentiated cell proliferation originating from a secondary neural tube defect or rachipagus parasitic twinning.
ISSN:1930-0433
1930-0433
DOI:10.2484/rcr.v10i1.1051