Double Lumbosacral Lipomas of the Dorsal and Filar Types Associated With OEIS Complex -Case Report-

  • TOKUNAGA So
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • MORIOKA Takato
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • HASHIGUCHI Kimiaki
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • SAMURA Kazuhiro
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • YOSHIDA Fumiaki
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • MIYAGI Yasushi
    Division of Digital Patient, Digital Medicine Initiative, Kyushu University
  • YOSHIURA Takashi
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • YAMANOUCHI Takeshi
    Department of Pediatric Surgery, Fukuoka Children's Hospital
  • SASAKI Tomio
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University

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タイトル別名
  • —Case Report—

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A female baby was born at 37 weeks and 6 days gestation by vaginal delivery with omphalocele, exstrophy of the cloaca, and imperforate anus, indicating the presence of OEIS complex, a rare combination of defects consisting of omphalocele (O), exstrophy of the cloaca (E), imperforate anus (I), and spinal deformity (S), associated with lumbosacral lipoma. The most common associated spinal deformity is terminal myelocystocele, and spinal lipoma is rare. Constructive interference in steady-state magnetic resonance imaging clearly revealed double lipomas, a dorsal-type lipoma, located dorsal to the low-lying conus medullaris, and a filar-type lipoma, revealed by a thickened and fatty filum terminale. After recovery from abdominogenital repairs, debulking of the dorsal-type lipoma and untethering of the spinal cord by sectioning of the filar-type lipoma were performed at the age of 14 months. Neurosurgical treatment for occult spinal dysraphism should be undertaken after recovery from the initial series of major abdominogenital procedures.<br>

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