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Updated: Jul 3, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Sacral intradural myolipoma causing tethered cord syndrome
H Takahashi1, Y Tomita, A Yagishita
1Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Musashidai 2-6-1, Fuchu-shi, Tokyo 183, Japan.
Abstract:
We report a case of tethered cord syndrome caused by a sacral myolipoma. The patient was a 12-year-old girl who had a smooth surfaced, cord-like mass in the sacral area; it tethered the conus medullaris at the S1-2 level and extended from there to the left S3-4 intervertebral foramen, involving the left S3 root. The condition was relieved by surgical removal of the tumour and the neurological symptoms were alleviated. Pathological study disclosed that the mass was a myolipoma. Discussion about the origin of the myolipoma is made with references hitherto reported.
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