The authors present an unusual case of an intradural lipoma at the thoracolumbar level causing lateral tethering of the spine, with complicated scoliosis. A 6-year-old girl was admitted with progressive change in posture detected by her parents. Thoracolumbar scoliosis was detected by physical examination and X-ray studies. Spinal magnetic resonance imaging revealed an intradural lipoma and right lateral tethering of the spine at the upper lumbar level. After surgical release of lateral tethering and resection of the lipoma, fusion was performed by the orthopedic surgery team. Radiological and intraoperative findings of this extremely rare case are discussed.
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http://dx.doi.org/10.1007/s00586-010-1505-8 | DOI Listing |
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Department of Chemical and Biomolecular Engineering, Case School of Engineering, Case Western Reserve University, Cleveland, OH 44106, United States.
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Department of Mechanical Engineering, Virginia Tech, Blacksburg, Virginia, USA.
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The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 601 North Caroline Street, 3rd Floor, Baltimore, MD 21287, USA. Electronic address:
Entrapment neuropathies of the hip (ENH) can occur due to a variety of causes with clinical symptoms that may mimic musculoskeletal disorders. Etiologies include entrapment in a fibromuscular canal, tethering due to posttraumatic fibrosis and extrinsic compression from muscle hypertrophy or a mass. Magnetic resonance (MR) imaging enables detection and characterization of peripheral nerve pathology.
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Departments of1Neurosurgery and.
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