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Lipomyelocele powerpoint presentation.

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Lipomyelocele powerpoint presentation. Lipomyelocele powerpoint presentation. Presentation Transcript

  • LIPOMYELOCELE
    38 yr old male Patient with semifluctuant swelling in the Rtgluteal region since childhood . Weakness in the lower extremity on either side .
    MERCURY IMAGING INSTITUTE
    SCO 172-173 SEC 9C CHANDIGARH
    MERCURY IMAGING CENTRE
    SCO 16-17 SEC 20D CHANDIGARH
  • LIPOMYELOCELE
    • Skin covered dysraphic congenital anomaly of the cord .
    • Spinal cord remains with in the canal .
    • IntraspinalLipoma is appreciated dorsal to the neural placodeand it communicates with the subcutis fat through dysraphic defect. Intraspinallipoma can extend to the variable level.
    • Thecal sac does not extend throught the dysraphic defect.
    • Tethered cord , segmentation and reduction defects of the verteberalbodies,gastrointestinal and genitourinary malforamations may be present along with .
  • Presentaion at any age .
    Semifluctuantlumbosacral mass.
    Orthopaedic deformities.
    Bladder dysfunction.
    Sensory loss in the sacral dermatomes.
    Lower extremity spasticity and leg pain.
    LIPOMYELOCELE
  • SPINA BIFIDA
    INTRASPINAL LIPOMA
    LOW LYING CORD
    TETHERING
  • FAT SATURATION
    INTRASPINAL LIPOMA
    COMMUNICATING WITH
    SUBCUTIS FAT.
  • CORONAL IMAGE
    CORD ON TOP OF LIPOMA
    NERVE ROOTS ON EITHER SIDE OF LIPOMA
  • FAT SATURATION
    NO THECAL SAC IN THE SUBCUTIS FAT – C/F LIPOMYELOMENGICELE
    SPINA BIFIDA
    INTRASPINAL LIPOMA WITH COMMUNICATION WITH SUBCUTIS FAT.
  • Lessons learnt
    Open spinal cord is referred to as neural placode.
    Lipoma’s are tightly adhered to the dorsal surface of the cord.
    Differentiate lipomyelomeningocele from the lipomyelocele.
    Define the location of lipoma properly.
    Identify the nerve roots as they exit from the ventral surface of the placode- If not identifed properly may be interuppted at time of surgical intervention.