Lipomyelomeningocele Lumbosacral A Case Report

Abstract: Lipomyelomeningocele (LMMC) is a type of congenital occult spinal dysraphism consisting of the presence of lipomatous tissue attached to the dorsal spinal cord, which protrudes though a spinal defect along with the menings or spinal cord to form a posterior mass under the skin. LMMC is the commonest cause of congenital tethering (tethered cord syndrome) and causes neurological deterioration due to the conus medullaris and root ischemia. Here we presented a 6 year old girl with a lump over the back region since birth. The lump was progressively increasing in size. There was history of urinary and fecal incontinence since birth. Local examination of the lumbosacral region revealed a single lump with no redness over it, spherical in shape, 12×10 cm in size, soft consistency, and fixed. CT Scan of lumbosacral spine was done which revealed soft tissue mass at lumbosacral that connected with defect canal sacral from L5 until S2. We diagnosed patient with lipomyelomeningocele. Surgery was performed and there are no post operative complications and now after 1 month of surgery the symptoms were improved. Lipomyelomeningocele is rare case in our Department. Surgical treatment is indicated because the patient had urinary disturbance. There are no post operative complications and now after 1 month of surgery the symptoms were improved. Keywords: Lipomyelomeningocele, tethered cord syndrome, occult spinal dsyraphism