Lipomyelomeningocele with terminal myelocystocele

Case:
# 8230754691
Section:
Author(s):

Donato, Angel MD. Huapaya, Janice MD. Figueroa, Ramon E. MD. FACR

Augusta University 
1120 15th street
Augusta, GA 30912
USA
Email:donatoangel@yahoo.com

Patient:
Female, 3 year(s)

CLINICAL HISTORY

3 days old term female presented with a sacral mass.


IMAGING FINDINGS

There is a dorsal dysraphic defect involving the L4-S2 levels. There is a complex mass effect containing fat and cerebrospinal fluid (CSF) spaces, outlining a spinal cord tethering into the posterior wall of the expanded lumbosacral spinal canal at the dorsal dysraphic defect. There is identifiable broad-based attachment of the neural placode in the posterior meningocele wall with near horizontal nerve roots extending anteriorly to the lower lumbar neural foramina. The fatty component of the mass is predominantly superficial to the CSF containing space, comprising the dorsal component of the mass. 
There is associated dilated spinal cord central canal (hydromyelia) continuous with a dilated cystic space at the neural placode in keeping with a terminal myelocystocele.

IMAGES