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- Deepak Kumar Gupta, Shashank Ramdurg, and A K Mahapatra.
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. drdeepakkumargupta@yahoo.com
- Pediatr Neurosurg. 2006 Jan 1;42(1):49-53.
AbstractTerminal myelocystocele is a rare form of occult spinal dysraphism in which the hydromyelic caudal spinal cord and the subarachnoid space are herniated through a posterior spina bifida. A 1-year-old female child presented with a large lumbosacral mass (30 x 20 x 10 cm), flaccid paraplegia and urinary incontinence since birth. Magnetic resonance imaging revealed a low-lying conus (with associated conus lipoma) and a dilated central canal surrounded by a meningocele suggestive of terminal lipomyelocystocele and was operated on successfully. In our experience, this was a giant terminal lipomyelocystocele and such a large lesion has not been reported in the literature before. Terminal myelocystocele should be included in the differential diagnosis of congenital lesions presenting as a lumbosacral mass and operated early.Copyright 2006 S. Karger AG, Basel
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