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Lipomeningocele with Tethered Cord Syndrome in an Adult: A Case Report

Soumya Pahari1, Suraksha Thapa2, Bibek Bhattarai3

  • 1Department of Neurosurgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|August 13, 2025
PubMed

Lipomeningocele is a closed neural tube defect characterized by the presence of spinal tissue within the spinal cord, with a junction between the spinal cord and a lipoma. It has a prevalence of 0.6 per 10,000 live births. A 29-year-old female presented to the outpatient clinic with complaints of weakness in both legs (more on the right) and tingling sensation and pain over her right thigh and legs for 1 year. She also mentioned swelling in her lower back since birth, which has been growing progressively since childhood. Magnetic resonance imaging of the spine revealed a low-lying spinal cord with the conus lying at the lower end of the L2 vertebral body. Spinal decompression with detethering of the cord and excision of the lipomeningocele was undertaken via a posterior midline incision. Prompt surgical intervention are crucial for symptom relief and prevention of neurological deterioration.

Keywords:
case reportslipomaspinal dysraphismtethered cord syndrome

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