Lipomeningocele in children: current diagnosis and treatment
Keywords:
lipomeningocele, children, classification, tethered spinal cord syndromeAbstract
The authors have reviewed 54 cases of lipomeningocele in children of age from I to 14 years old. The value of diagnostics methods including CT and MRI is demonstrated. Proposed classification of lipomeningocele is based on the type of meningocele (myelomeningocele) and on the lipoma extention regarding to the meninges and spinal cord. Application of microsurgical technigue reduces postoperative morbidity and provides good results in the management of lipomeningocele in children.
References
l. Лившиц A.B. Хирургия спинного мозга. — М.: Медицина, 1990. —350 с.
Орлов М.Ю. Липоменингоцеле у детей // Акт. питання неврології, психіатрії та наркології. — Вінниия, 1997. —С.96—97.
Орлов М.Ю. Особенности распространения липом при липоменингоцеле у детей // Бюл. УАН. —1998. —Вып.6. — С.60.
Opлов Ю.А. Гидроцефалия. — Винница: ВМУ, 1995. —165 с.
Орлов Ю.О., Плавський М.В., Проценко І.П. та ін. Хірургічна тактика при лікуванні спиномозкових гриж та часткового рахішизісу; Метод.рекомендації. — К., 1996. — ІЗ с.
Adams R., Johuston W., Nevin H.C. Family study of congenital hydrocephalus // Divelop.Med. —1982.— V.24. — P.493 — 499.
Atala A., Bauer S.B., Dyro F.M. Bladder functional changes resulting from lipornyelomeningocele repair // J.Urol. —1992. —V. l48. — P.592 — 594.
Barolat G., Schaeffer D. Zeme S. Recurrent spinal cord tethering by sacrae nerve root following lipomyelomeningocele surgery. // J.Neurosurg. —1991. —V.75. — P.143 —145.
Bassett R.C. The neurologic deficit associated with lipomas of the cauda equina //Ann.Surg. —1950. —V.131. — P.109 —116.
Bruce D.A., Schut L. Spinal lipomas in infancy and childhood // Child’s Brain.— 1979.— V.5.— P.192—203.
Chapman Р.Н. Congenital intraspinal lipomas: Anatomic consideration and surgical treatment
// Child’s Brain. —1982. —V.9. — P.37—47.
Foster L.S., Kogan B.A., Cogen P.H. Bladder function in patients with lipomyelomeningocele // J.Urol. — 1990. —V.143. — P.984 — 986.
Hakuda A., Fujitani K., Hoda K. Lumbo-sacral lipoma, the timing of the operation and morphological classification // Neuro-orthopedics. —1986. —V.2. — P.34 — 42.
Harvey C.F., Dias M.S., McLone D.G. Spinal cord Upomas 1971—1991 // Amer. Ass. of Neurologic Surgeons. — Vancouver, B.C. —1992. — P.46.
Hoffman H.J., Taecholarn C., Hendrick E.B. Management of lipomyelomeningoceles // J.Neurosurg. — 1985. —V.62. — P.1—8.
Hoffman H.J., Heudrick E.B., Humphreys R.P. The tethered spinal cord: its protean manifestations, diagnosis and surgical correction // Child’s Brain. — 1976. —V.2. — P.145—155.
Lunardi Р., Missori Р., Fenante L. Long-term results of surgical treatment of spinal lipomas // Acta Neurochir (wien). —1990. —V.104. — P.64 — 68.
Matson D.D. Neurosurgery of Infancy and Childhood. 2-nd ed. Springfield, Charles C. Thomas, 1969. — P.46.
McLone D.G., Mutluer S., Naidich T.P. Lipomyelomeningocele of the conus medullaris: Raimondi A.J. ed.: Concepts in Pediatric Neurosurgery.—Basel, Karger, 1983. — V.3. — P.l70 — 177.
Naidich T.P., McLone D.G., Mutluer S. A new understanding of dorsal dysraphism with lipoma (lipomyeloschisis) // A.J.R. —1983.—V.140. — P. 1065 — 1078.
Pierre-Kahn A., Lacomble I., Pichon J. Intraspinal lipomas with spina bifida: Prognosis and treatment in 73 cases // J.Neurosurg. —1986. —V. 65. — P.756 — 761.
Schut L., Bruce D.A., Sutton L.N. The management of child’s with a lipomyelomeningocele // Clin. Neurosurg. — l983. —V. 30. — P. 446 — 476.
Till K. Spinal disraphism. A study of congenital malformations of the lower back //J.Bone Joint Surg. (Br). —1969. —V. 51. — P. 415 — 422.
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