A Case Report of Lumbosacral Lipomyelomeningocele with Tethered Cord Syndrome

Abstract

The objective is to describe a rare case of lumbosacral lipomyelomeningocele with Tethered Cord Syndrome. Tethered cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of spinal cord within the spinal column. A 7 years old girl child presented with lumbosacral swelling with non healing ulcer on foot and with weakness of lower limbs since childhood. MRI scan of lumbosacral spine suggest spinal dysraphism in L3-L5 vertebrae with lipomeningomyelocele from L2 to S2 levels with tethered low lying cord .The patient underwent  surgical procedure. The majority cases of tethered cord syndrome are related to spinal dysraphism.Children with spinal dysraphism, especially those with lipomyelomeningocele, who may be associated with TCS, which may be asymptomatic at an early stage, require intensive follow-up care and observation. Keyword: Spinal dysraphism, neurological disorder, TCS, lipomeningomyelocele.