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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618827PMC
http://dx.doi.org/10.1136/bcr-2013-008820DOI Listing

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Epidural analgesia in an obstetric patient with an intradural lipoma.

Anaesth Rep

January 2025

Anaesthetic Department Wrightington, Wigan and Leigh NHS Foundation Trust Wigan UK.

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Background: Arteriovenous shunts below conus medullaris (AVS-BC) are understudied, particularly those associated with spinal dysraphism. This study aimed to refine the classification and management of AVS-BC.

Methods: A retrospective analysis of patients with AVS-BC from two centers over two decades was performed, focusing on clinical presentations, angioarchitecture, and treatment outcomes.

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Article Synopsis
  • Spinal intradural lipomas are rare tumors, particularly when not linked to spinal dysraphism, and are often diagnosed late due to their gradual growth and location.
  • A case involving an eight-year-old girl revealed a lipoma and a cyst in her lumbar region, leading to symptoms like limb weakness and urinary issues; both lesions were partially removed surgically with a successful recovery.
  • The discovery of fluid-filled cysts alongside lipomas is extremely rare, and while the exact origin of these lipomas is unclear, their coexistence with cysts may prompt earlier detection and intervention.
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Intradural spinal lipomas are rare benign lesions typically located in the lumbosacral region and associated with spinal dysraphism in children. When unassociated with spinal dysraphism, they are most often diagnosed in young children or adolescents following the emergence of neurological symptoms. In their most rare form, intradural spinal lipomas may be found in adults without spinal dysraphism.

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