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  • A Clinical Review of Lipomyelomeningocele in Children

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    Ova Ovari
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    Lipomyelomeningocele (LMCC) is a type of congenital spinal dysraphism or closed neural tube defect where fatty tissue extends through a defect in the vertebrae into the spinal canal. This case report describes a 2.7 year old girl who presented with a growing lump on her lower back and urinary/fecal incontinence. Imaging showed a LMCC defect between vertebrae L4-L5 and S1-S5. The patient underwent surgery to trim the fatty lipoma mass as completely as possible. Histopathology confirmed adipose tissue. Post-operatively the patient showed wound healing and no complications. Surgery is the definitive treatment for LMCC to decompress the t

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    A CLINICAL REVIEW OF LIPOMYELOMENINGOCELE IN CHILDREN

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    Lipomyelomeningocele (LMCC) is a type of congenital spinal dysraphism or closed neural tube defect where fatty tissue extends through a defect in the vertebrae into the spinal canal. This case report describes a 2.7 year old girl who presented with a growing lump on her lower back and urinary/fecal incontinence. Imaging showed a LMCC defect between vertebrae L4-L5 and S1-S5. The patient underwent surgery to trim the fatty lipoma mass as completely as possible. Histopathology confirmed adipose tissue. Post-operatively the patient showed wound healing and no complications. Surgery is the definitive treatment for LMCC to decompress the t

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    12 views1 page

    A Clinical Review of Lipomyelomeningocele in Children

    Uploaded by

    Ova Ovari
    Lipomyelomeningocele (LMCC) is a type of congenital spinal dysraphism or closed neural tube defect where fatty tissue extends through a defect in the vertebrae into the spinal canal. This case report describes a 2.7 year old girl who presented with a growing lump on her lower back and urinary/fecal incontinence. Imaging showed a LMCC defect between vertebrae L4-L5 and S1-S5. The patient underwent surgery to trim the fatty lipoma mass as completely as possible. Histopathology confirmed adipose tissue. Post-operatively the patient showed wound healing and no complications. Surgery is the definitive treatment for LMCC to decompress the t

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    © All Rights Reserved
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    A CLINICAL REVIEW OF LIPOMYELOMENINGOCELE IN CHILDREN : A CASE

    REPORT
    Prima Yanuar Ovari1,Chesny Stevani Ardento2, Grace Earny Pinta Madingin Sianturi3
    1
    Surgery Resident, Surgery Department, A.W. Sjahranie Hospital, Samarinda, Indonesia
    2
    Intern Doctor, Neurosurgery Department, A.W. Sjahranie Hospital,Samarinda, Indonesia
    3
    Neurosurgeon, Neurosurgery Department, A.W. Sjahranie Hospital, Samarinda,Indonesia

    Abstract:
    Objective : To report and discuss clinical of lipomyelomeningocele in children

    Background:
    Lipomyelomeningocele (LMCC) is a type of congenital spinal dysraphism, it represent a closed neural tube defects. Some LMCC
    present from infancy throughtout childhood came to neurosurgeoun because subcatenous lumbar mass, pain, bladder dysfunction, or leg
    weakness associated with the mass. LMCC has been found 0,6 per 10.000 live births.

    Methods:
    A 2.7 years old girl came to our outpatient neurosurgery department with lump on the lower back since 1 months ago, the lump was
    progressively increasing in size. And the mother complaint about her daughter urinary and fecal incontinence.there were no complain of
    back pain. The child development were normal for the age and no deformity. A girl was born by spontaneous vaginal delivery with
    midwife, preterm labor at 28 weeks gestation with weight <2000gr. On physical examination the lump was 6x7cm, soft concistency, and
    fixed. CT-scan shows defect at vertebrae lamina L4-L5 and arcus posterior defect at S1-S5 with LMCC. Intraoperatively, the periphery of
    the fatty subcatenous mass is exposed, then the lipoma is trimmed as completely as possible. After surgery we do histophatology for the
    tissue.

    Results:
    Histophatological mainly showed sheets of adipocytes.
    During a follow up 15 days after procedure the patient show improvement wound on the lower back with no CSF leakage. The patient
    was control in the outpatient clinic with no complaint.

    Conclusion:
    Surgery are definitive treatment for LMCC because it release the thetering cord and reduce the bulk of fatty mass.

    Keyword: lipomyelomeningocele, children


    Conflict of Interest: The author have no conflict of interest to declare

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