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Child's Nervous System
Published in: Child's Nervous System 6/2017

01-06-2017 | Case Report

Lateral lipomyelomeningocele of the hemicord with split cord malformation type I revealed by 3D heavily T2-weighted MR imaging

Authors: Nobuya Murakami, Takato Morioka, Masako Ichiyama, Ryoko Nakamura, Nobuko Kawamura

Published in: Child's Nervous System | Issue 6/2017

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Abstract

Background

Lipomyelomeningocele (LMMC) is defined by a low-lying tethered spinal cord protruding posteriorly from the spinal canal and terminating in a lipomatous mass in the subcutaneous meningeal sac. The coexistence of LMMC with split cord malformation (SCM) is rare.

Clinical presentation

We report on a patient with laterally protruded LMMC arising from the hemicord of SCM type I. Direct coronal and axial views (instead of sagittal views) of 3D heavily T2-weighted MR imaging (3D–hT2WI) clearly demonstrated the topographical relationship between both of the hemicords, the bony septum, and nerve roots in the right subcutaneous meningeal sac.

Conclusion

Combined use of axial and coronal images of 3D–hT2W is useful for visualization and surgery of such a complicated anomaly.
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Metadata
Title
Lateral lipomyelomeningocele of the hemicord with split cord malformation type I revealed by 3D heavily T2-weighted MR imaging
Authors
Nobuya Murakami
Takato Morioka
Masako Ichiyama
Ryoko Nakamura
Nobuko Kawamura
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3350-0

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