Document Detail


Factors in neurological deterioration and role of surgical treatment in lumbosacral spinal lipoma.
MedLine Citation:
PMID:  10804049     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
I Koyanagi; Y Iwasaki; K Hida; H Abe; T Isu; M Akino; T Aida
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
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 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  143-9     Citation Subset:  IM    
Affiliation:
Hokkaido Neurosurgical Memorial Hospital, Sapporo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Leg / physiopathology
Lipoma / complications,  diagnosis*,  surgery
Lumbosacral Region / pathology,  radiography
Magnetic Resonance Imaging
Male
Middle Aged
Movement Disorders / diagnosis*,  etiology,  physiopathology
Muscular Atrophy / diagnosis*,  etiology
Myelography
Postoperative Care
Preoperative Care
Retrospective Studies
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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