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Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale.

Publication ,  Journal Article
Bulsara, KR; Zomorodi, AR; Villavicencio, AT; Fuchs, H; George, TM
Published in: Neurosurg Rev
December 2001

Failure to differentiate between the different types of lumbosacral lipomas may lead to inaccurate assumptions and inappropriate management of patients. The goal of this study was to determine whether there is a difference in clinical outcome between patients with lipomyelomeningocles, intraspinal lipomas, and lipomas of the filum terminale. One hundred and fourteen patients with spinal dysraphism were seen at Duke University Medical Center between 1995-1999. All patients who had undergone previous operative intervention for these lesions were excluded. Twenty-two patients with intradural lipomas were identified. Of these, 14 (64%) had lipomyelomeningoceles and 8 (36%) had intraspinal lipomas. Twenty-five patients had filum terminale lipomas. Operative management consisted of lumbosacral laminectomies with microsurgical resection of the lipoma and division of the fatty filum. Average age at presentation in symptomatic patients with lipomas of the filum terminale was 17.7 years, and 23 years in the symptomatic intraspinal lipoma group. Patients with lipomyelomeningoceles ranged in age from 1 day to 18 years, with the majority being younger than 2 years. After an average follow-up of 8 months all patients showed improvement in motor strength following operative intervention. Greater improvements in sensory, bladder, and pain scores were associated with filum terminale lipomas. The least improvements in these categories were seen in the lipomyelomeningocele group. Motor strength is the most likely deficit to improve following operative intervention. Lipomyelomeningoceles, intraspinal lipomas, and filum termniale lipomas have different clinical outcomes following operative intervention.

Duke Scholars

Published In

Neurosurg Rev

DOI

ISSN

0344-5607

Publication Date

December 2001

Volume

24

Issue

4

Start / End Page

192 / 194

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Dysraphism
  • Spinal Cord Neoplasms
  • Retrospective Studies
  • Recovery of Function
  • Peripheral Nervous System Neoplasms
  • Neurology & Neurosurgery
  • Meningomyelocele
  • Lipoma
  • Infant
 

Citation

APA
Chicago
ICMJE
MLA
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Bulsara, K. R., Zomorodi, A. R., Villavicencio, A. T., Fuchs, H., & George, T. M. (2001). Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale. Neurosurg Rev, 24(4), 192–194. https://doi.org/10.1007/s101430100177
Bulsara, K. R., A. R. Zomorodi, A. T. Villavicencio, H. Fuchs, and T. M. George. “Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale.Neurosurg Rev 24, no. 4 (December 2001): 192–94. https://doi.org/10.1007/s101430100177.
Bulsara KR, Zomorodi AR, Villavicencio AT, Fuchs H, George TM. Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale. Neurosurg Rev. 2001 Dec;24(4):192–4.
Bulsara, K. R., et al. “Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale.Neurosurg Rev, vol. 24, no. 4, Dec. 2001, pp. 192–94. Pubmed, doi:10.1007/s101430100177.
Bulsara KR, Zomorodi AR, Villavicencio AT, Fuchs H, George TM. Clinical outcome differences for lipomyelomeningoceles, intraspinal lipomas, and lipomas of the filum terminale. Neurosurg Rev. 2001 Dec;24(4):192–194.
Journal cover image

Published In

Neurosurg Rev

DOI

ISSN

0344-5607

Publication Date

December 2001

Volume

24

Issue

4

Start / End Page

192 / 194

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Dysraphism
  • Spinal Cord Neoplasms
  • Retrospective Studies
  • Recovery of Function
  • Peripheral Nervous System Neoplasms
  • Neurology & Neurosurgery
  • Meningomyelocele
  • Lipoma
  • Infant