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Rapidly regrowing lipoma in lipomeningomyelocele: a case report.

Authors
 Kyung Hoon Kim  ;  Yun Ho Lee  ;  Young Seok Park  ;  Dong-Seok Kim 
Citation
 CHILDS NERVOUS SYSTEM, Vol.25(9) : 1149-1151, 2009 
Journal Title
CHILDS NERVOUS SYSTEM
ISSN
 0256-7040 
Issue Date
2009
MeSH
Child ; Diagnosis, Differential ; Early Diagnosis ; Female ; Humans ; Lipoma/complications* ; Lipoma/diagnosis ; Lipoma/surgery* ; Magnetic Resonance Imaging ; Meningomyelocele/complications* ; Meningomyelocele/surgery* ; Spinal Neoplasms/complications* ; Spinal Neoplasms/diagnosis ; Spinal Neoplasms/surgery* ; Treatment Outcome
Keywords
Lipoma ; Lipomyelomeningocele ; Myelomeningocele
Abstract
INTRODUCTION: Although it is widely accepted that lipomas in lipomeningomyelocele (LMMC) are anatomically stable lesions, we present a case of rapidly growing intradural lipoma accompanied by neurological deterioration. An 8-year-old girl with rapidly regrowing LMMC was admitted to our neurosurgical clinic. She was delivered by cesarean section, and at 47 days old, she underwent detethering surgery because of aggravating weakness. We performed her detethering operation immediately rather than at 3 months as had been previously scheduled because of the rapidly growing lipoma. The second operation was performed at age 8 years because of a regrowing intradural lipoma and aggravating leg deformity. Even if LMMC is expected to be surgically corrected at 2 or 3 months after birth, lipomas could grow rapidly beyond expectation.

DISCUSSION: Close monitoring and follow-up before and after surgery is needed for optimum surgical timing, in order to avoid deteriorating neurological symptoms. The possibility of the rapid growth of intradural lipomas offers additional support for early prophylactic surgery in patients with LMMC.

CONCLUSION: The potential for rapid growth of spinal lipomas should be considered during first few months of life or even long after surgery. Early diagnosis and optimal surgery are still essential for the treatment of patients with LMMC since there is a high likelihood that residual neurological functions can be preserved
Full Text
http://link.springer.com/article/10.1007%2Fs00381-009-0935-2
DOI
10.1007/s00381-009-0935-2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Park, Young Seok(박영석)
Lee, Yun Ho(이윤호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104200
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