Dinesh Zinzala Fellow in Fetal Medicine, Department of Radiology, Government Medical College and New Civil Hospital, Majuragate, Surat, Gujarat, India
Purvi Desai Professor, Head of Department in Radiology,Government Medical College and New Civil Hospital Surat, Gujarat 395001, India
Kairavi Desai Fellow in Fetal Medicine,Government Medical College and New Civil Hospital Surat, Gujarat 395001, India
Kalpana Kathrotiya Consultant in Fetal Medicine, Government Medical College and New Civil Hospital Surat, Gujarat 395001, India
Binodini Chauhan Fetal Medicine Consultant, Government Medical College and New Civil Hospital Surat, Gujarat 395001, India
Address for correspondence: Dinesh Zinzala, Fellow in Fetal Medicine, Department of Radiology, Government Medical College and New Civil Hospital, Majuragate, Surat, Gujarat, India E-mail: zinzala100@gmail.com
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Purvi Desai, Kairavi desai, Dinesh zinzala et al./Huge Lumbosacral Lipomeningomyelocele with Good Post-Natal Surgical
Outcome/Indian Journal of Maternal-Fetal & Neonatal Medicine 2022; 9(1): 29–33.
Timeline
Received : October 26, 2021
Accepted : November 10, 2021
Published : June 30, 2022
Abstract
Management of lipomyelomeningocele is one of the most discussed and controversial topics in recent years. To date, there is no consensus on the most appropriate mode of management for lipomyelomeningocele, particularly in asymptomatic patients. It represents a complex disorder that may present with neurological deficit secondary to the inherent tethered cord. Here we present an antenatally diagnosed case of huge lumbosacral lipomeningomyelocele with a good post-natal outcome
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Purvi Desai, Kairavi desai, Dinesh zinzala et al./Huge Lumbosacral Lipomeningomyelocele with Good Post-Natal Surgical
Outcome/Indian Journal of Maternal-Fetal & Neonatal Medicine 2022; 9(1): 29–33.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
Description: Fig. 1: ultrasound finding at 36 weeks. 1A- normal posterior fossa in trans-cerebellar view; 1B- open lumbo sacral spine in saggital view; 1C - Neural elements extending in the lesion-tethered cord; 1D- large cystic lesion at lumbosacral region.
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Description: Fig. 2: Showing post natal ultrasound and MRI findings. 2A -Tethered spinal cord, 2B- multiseptate myelomeningocele at lumbosacral region, 2C and 2D -MRI images showing spinal defect with lipomatous tissue covered with skin.
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Description: Fig. 3: Showing intra-operative finding.
3A and 3B post natal image of huge lumbosacral mass
3C intraoperative picture
3D postoperative operative site
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Description: Fig. 4: Showing usg finding and operative site 4 months post surgery.
4A coronal view and 4B sagital view showing normal anterior complex of brain in Fontanalle scan
4C scar site 4 month post surgery