Spinal lipoma misinterpreted as a meningomyelocele on antenatal MRI scan in a baby girl
Autor: | K Johnson, S Williams, Spiros Sgouros, E C Leung |
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Rok vydání: | 2002 |
Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty Meningomyelocele medicine.medical_treatment Diagnosis Differential Central nervous system disease Humans Medicine Spinal Cord Neoplasms Pregnancy medicine.diagnostic_test business.industry Fetal surgery Spina bifida Infant Newborn Magnetic resonance imaging General Medicine Lipoma medicine.disease Magnetic Resonance Imaging Surgery Pediatrics Perinatology and Child Health Female Neurology (clinical) Neurosurgery business Lumbosacral joint |
Zdroj: | Child's Nervous System. 18:361-363 |
ISSN: | 1433-0350 0256-7040 |
DOI: | 10.1007/s00381-002-0622-z |
Popis: | Introduction. Antenatal screening for spina bifida with ultrasound and MR imaging is increasingly used. Case report. A baby girl's antenatal MRI examination showed features originally interpreted as a lumbar meningomyelocele. Repeat MRI examination soon after birth showed features of a spinal lipoma (lipomeningomyelocele). This was excised surgically and complete spinal cord untethering was achieved. Conclusion. As antenatal MR scanning is increasingly used, and fetal surgery is becoming more prominent, the correct interpretation of such images is crucial. We present a rare case of a misleading antenatal radiological diagnosis of spina bifida, which would have had severe implications if termination of the pregnancy or intra-uterine surgical repair had been considered. |
Databáze: | OpenAIRE |
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