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Myelomeningocele > Lipomyelomeningocele > Flashcards

Lipomyelomeningocele Flashcards

1
Q

Lipomyeloschisis lipoma of coda equina

A

Subcotnpis fat extend intradural merge with low conus medullary ( terminal , dorsal or transitional)

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2
Q

Presentation Lipomyeloschisis

A

LBP , bladder , foot 🦶 deformity and paraLysis

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3
Q

Presentation Lipomyeloschisis

A

Cutaneous e stigmata of spina bifida
Normal exam 50 %
⬇️ sensation sacral area

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4
Q

Investigators

A

Urology assesment
x ray spine 🦋 Vb , fusion of sacral
MRI low conus with f
Lipoma mass ⬆️ T1 ⬇️ T2

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5
Q

Goal of surgery

A

Un tethering
Reduce bulk mass
Cosmetic
🚫 neurological function
Club 🦶 will progress regardless surgery

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6
Q

Indication for surgery

A

Reach age 2 month
At time of dx if patient present late

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7
Q

Outcome

A

20 % will improve
75% will no change 🚫
6 % will worse

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8
Q

Dura incised

A

Anterior to dura- lipoma junction

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Myelomeningocele (5 decks)

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