TITLE

Fatty filum with different histological features. Case report

AUTHOR(S)
Izci, Y.; Pusat, S.; Onguru, O.
PUB. DATE
October 2011
SOURCE
Revista Neurocirugia;oct2011, Vol. 22 Issue 5, p457
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Split cord malformation and fatty filum are completely different clinical entities and thought to arise via different pathophysiologies. Recognition of these distinct lesions in the same patient is important for appropriate diagnosis and management. A 3 year-old boy presented with skin lesions and mild leg weakness suggestive of spinal malformation. Magnetic resonance imaging revealed type II split cord malformation at T12-L1, syringomyelia at T8-T10 levels associated with tethered cord and fatty filum terminale. The patient underwent a T12-L1 laminotomy for the removal of fibrous band between the 2 hemicords and L4-L5 laminotomy for transection of the fatty filum. Histopathological examination of the filum confirmed the presence of bone, fat, and ciliated epithelial cells associated with meningothelial proliferation in the same specimen. We report an unusual case of type II split cord malformation coexisting with a fatty filum which have different histological patterns. To the best of our knowledge, this histological appearance of a fatty filum has not yet been reported and this raises the question of a possible associative or causative relationship between these distinct pathologies.
ACCESSION #
66959977

 

Related Articles

  • Investigation of magnetization transfer ratio-derived pial and subpial abnormalities in the multiple sclerosis spinal cord. Kearney, Hugh; Yiannakas, Marios C.; Samson, Rebecca S.; Wheeler-Kingshott, Claudia A. M.; Ciccarelli, Olga; Miller, David H. // Brain: A Journal of Neurology;Sep2014, Vol. 137 Issue 9, p2456 

    Spinal cord meningeal inflammation is present in multiple sclerosis. Using magnetization transfer imaging, Kearney et al. demonstrate abnormalities in a region encompassing the pia mater and subpial spinal cord in patients, and an association with cord atrophy. The results provide additional...

  • Effect and Possible Mechanism of Muscle-Splitting Approach on Multifidus Muscle Injury and Atrophy After Posterior Lumbar Spine Surgery. Zhi-Jun Hu; Xiang-Qian Fang; Zhi-Jie Zhou; Ji-Ying Wang; Feng-Dong Zhao; Shun-Wu Fan // Journal of Bone & Joint Surgery, American Volume;12/18/2013, Vol. 95 Issue 24, p1 

    Background: Multifidus muscle injury and atrophy are common after posterior lumbar spine surgery and are associated with low back pain and functional disability. In theory, muscle-splitting and retraction with a self-retaining retractor are considered to be the major surgical factors. The...

  • Early diffuse demyelinating lesion in the cervical spinal cord predicts a worse prognosis in relapsing -- remitting multiple sclerosis. Coret, F.; Bosca, I.; Landete, L.; Magraner, M. J.; Navarré, A.; León, J. L.; Casanova, B. // Multiple Sclerosis (13524585);Aug2010, Vol. 16 Issue 8, p935 

    Objective: To study the long-term outcome and persistence of two patterns of cervical spinal cord abnormality in early relapsing-remitting multiple sclerosis (RRMS). Methods: RRMS patients with a spinal cord MRI performed during the first 3 years of the disease, a control MRI 5 years later and...

  • The correlation between coronal balance and neuroaxial abnormalities detected on MRI in adolescent idiopathic scoliosis. Lee, Robert; Reed, Daniel; Saifuddin, Asif // European Spine Journal;Jun2012, Vol. 21 Issue 6, p1106 

    Introduction: The indications for magnetic resonance imaging in presumed adolescent idiopathic scoliosis (AIS) have not been established, with some studies suggesting that rates of spinal cord abnormalities are low and question the use of the routine MRI in AIS. Objective: Given the restraints...

  • Diffusion-weighted MR imaging for differentiating borderline from malignant epithelial tumours of the ovary: pathological correlation. Zhao, Shu; Qiang, Jin; Zhang, Guo; Ma, Feng; Cai, Song; Li, Hai; Wang, Li // European Radiology;Sep2014, Vol. 24 Issue 9, p2292 

    Objectives: To investigate diffusion-weighted (DW) magnetic resonance (MR) imaging for differentiating borderline from malignant epithelial tumours of the ovary. Methods: This retrospective study included 60 borderline epithelial ovarian tumours (BEOTs) in 48 patients and 65 malignant epithelial...

  • A large cystic gastrointestinal stromal tumor of the rectum in the retrorectal space. Takahashi, Ryo; Nagayama, Satoshi; Mori, Yukiko; Isoda, Hiroyoshi; Yoshizawa, Akihiko; Manabe, Toshiaki; Sakai, Yoshiharu // International Journal of Clinical Oncology;Dec2010, Vol. 15 Issue 6, p601 

    A 54-year-old man presented with pain on defecation and rectal bleeding. Colonoscopy revealed a submucosal tumor extending from the lower rectum to the upper rim of the anal canal, which compressed the rectal wall inward by two thirds of its circumference. Magnetic resonance images demonstrated...

  • Lumbar disc replacement in adolescents: An initial experience in two cases. Kasliwal, Manish K.; Deutsch, Harel // Journal of Pediatric Neurosciences;May-Aug2012, Vol. 7 Issue 2, p129 

    Management of painful lumbar disc degeneration is one of the most common conditions treated by spine surgeons. Several recent prospective multicenter trials have demonstrated the effectiveness of artificial lumbar disc replacement in treating discogenic lower back pain. Though data on the safety...

  • Back Pain: How to Avoid Surgery?  // British Journal of Medical Practitioners;2009, Vol. 2 Issue 1, p4 

    In this article the authors' discusses ways to avoid surgery for back pain. They inform about the increasing number of back surgeries in the U.S. and how patients suffer despite the surgery due to the failed back surgery syndrome. The diagnosis is mainly done by Magnetic Resonance Imaging (MRI)...

  • Influence of lumbar intervertebral disc degeneration on the outcome of total lumbar disc replacement: a prospective clinical, histological, X-ray and MRI investigation. Siepe, Christoph; Heider, Franziska; Haas, Elisabeth; Hitzl, Wolfgang; Szeimies, Ulrike; Stäbler, Axel; Weiler, Christoph; Nerlich, Andreas; Mayer, Michael // European Spine Journal;Nov2012, Vol. 21 Issue 11, p2287 

    Introduction: The role of fusion of lumbar motion segments for the treatment of axial low back pain (LBP) from lumbar degenerative disc disease (DDD) without any true deformities or instabilities remains controversially debated. In an attempt to avoid previously published and fusion-related...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics