|Factors in neurological deterioration and role of surgical treatment in lumbosacral spinal lipoma.|
|PMID: 10804049 Owner: NLM Status: MEDLINE|
|The purpose of this study was to determine factors that might be involved in neurological deterioration and the role of surgical treatment in patients with lumbosacral spinal lipoma. Pre- and postoperative courses of 34 patients were retrospectively analyzed. The age at surgery ranged from 1 month to 47 years. The records of preoperative neurological status indicated that older patients had more severe deficits, while all 8 asymptomatic patients were under 5 years of age. Motor deficits were noted in 9 patients, in 7 of whom the lipoma extended cranially beyond the L5 level. Transitional-type lipomas were accompanied by more severe deficits (asymptomatic 1, symptomatic 17) than other types (asymptomatic 7, symptomatic 9). Postoperative follow-up periods ranged from 5 months to 13 years. During these periods, 7 of the 8 asymptomatic patients remained neurologically intact. Nine of the 26 symptomatic patients improved. Age, extension of the lipoma in the spinal canal and type of lipoma will influence the preoperative neurological status of the patients. Early untethering surgery is recommended in patients with large lipomas extending beyond the L5 level.|
|I Koyanagi; Y Iwasaki; K Hida; H Abe; T Isu; M Akino; T Aida|
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|Type: Journal Article; Research Support, Non-U.S. Gov't|
|Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 16 ISSN: 0256-7040 ISO Abbreviation: Childs Nerv Syst Publication Date: 2000 Mar|
|Created Date: 2000-08-01 Completed Date: 2000-08-01 Revised Date: 2006-11-15|
Medline Journal Info:
|Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: GERMANY|
|Languages: eng Pagination: 143-9 Citation Subset: IM|
|Hokkaido Neurosurgical Memorial Hospital, Sapporo, Japan.|
|APA/MLA Format Download EndNote Download BibTex|
Leg / physiopathology
Lipoma / complications, diagnosis*, surgery
Lumbosacral Region / pathology, radiography
Magnetic Resonance Imaging
Movement Disorders / diagnosis*, etiology, physiopathology
Muscular Atrophy / diagnosis*, etiology
Severity of Illness Index
Spina Bifida Occulta / complications, diagnosis, surgery
Spinal Cord Neoplasms / complications, diagnosis*, surgery
Tomography, X-Ray Computed
Urinary Bladder, Neurogenic / diagnosis*, etiology
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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