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Related Experiment Videos

Spinal dysraphism in an elderly patient.

M Manfredi1, E Donati, E Magni

  • 1Department of Neurology, Casa di Cura Poliambulanza, Brescia, Italy.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|March 29, 2002
PubMed
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Spinal malformations like lipomyeloschisis can occur in elderly patients, causing myelopathy. Advanced neuroimaging accurately diagnoses these rare late-onset spinal conditions and reveals critical structural details.

Area of Science:

  • Neurology
  • Radiology
  • Developmental Biology

Background:

  • Spinal dysraphisms are congenital conditions typically diagnosed in infancy.
  • Late-onset presentations of spinal dysraphisms are uncommon but can lead to significant neurological deficits.

Observation:

  • An elderly patient presented with symptoms and signs suggestive of myelopathy.
  • Neuroimaging revealed an intraspinal mass consistent with lipomyeloschisis, a type of spinal dysraphism.
  • The mass was continuous with a subcutaneous lipoma, and a dermal sinus was also identified.

Findings:

  • Magnetic resonance imaging (MRI) delineated the intraspinal lipoma and its connection to the subcutaneous tissue.
  • Three-dimensional computed tomography (3D CT) reconstructions provided detailed visualization of the spinal dysraphism and associated dermal sinus.

Related Experiment Videos

  • The findings confirmed a rare, late-onset presentation of spinal dysraphism.

    • Implications:

    • Neuroimaging is crucial for diagnosing spinal dysraphisms in elderly patients presenting with myelopathy.
    • Detailed structural information from MRI and 3D CT aids in precise diagnosis and understanding of complex spinal malformations.
    • This case highlights the importance of considering congenital spinal anomalies even in advanced age when myelopathic symptoms arise.