Tethered conus syndrome accompanied by lipoma: A case report.

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A seventeen-years-old girl who was diagnosed as suffering from tethered conus syndrome accompanied by lipoma in the lesion of spina bifida was investigated and treated in our institution.This syndrome is rarely seen and usually diagnosed in childhood. In this case, diagnosis was made by computerised tomography, physical examination, plane X-p and myelography.Computerised tomography was of great importance for the evaluation of invasion and also for confirmation of the level of the location of conus in the spinal canal.Radical excision was necessary for this lipoma, although many authors state it is difficult to perform such an excision redically in most cases. Decompression of the spinal cord and releasing the fibrous band are essential for the treatment of this syndrome.This paper reports a rare case of tethered conus syndrome acompanied by lipoma in the lesion of spina bifida, which was succesfully treated surgically.
西日本整形・災害外科学会の論文