Primary Diagnosis

Sacral lipomyeloschisis with tethered cord. Had a hemangioma superficially removed from this site as a child. No urinary s/sx.

Secondary Diagnosis

N/A

Diagnosis Discussion

Note the T2 prolongation in the spinal cord, likely ischemic from the long term tethering. The fat-placode interface is located within the spinal canal, distinguishing the lipomyeloschesis from the lipomyelomeningocele, the latter having an expanded subarachnoid space that results in the fat-placode interface being outside of the spinal canal.

General Anatomic Area:

Sacrum and Coccyx

Secondary Anatomic Area:

N/A

Disease Category:

Congenital

Contributor:

Erin Simon, MD

Date:

04/01/2004

Difficulty Level:

Medium

Pathology Confirmed?:

Yes
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ACR Category Number:

N/A

Keywords:

meningocele, dysraphism, tethered cord