From: Acute presentations of intradural lipomas: case reports and a review of the literature
Author, year | No. cases | Age | Type of lesion | Deterioration | Treatment | Late outcome |
---|---|---|---|---|---|---|
Vadivelu et al., 2014 [12] | 2 | 17 mts, 26 mts | Undiagnosed dermal sinus + dermoid cyst + syrinx Undiagnosed dermal sinus + dermoid cyst | Intramedullary abscess with motor/sphincter deficit Intramedullary abscess with recurrent meningitis and hydrocephalus | Surgery + antibiotic therapy | Assistive device for walking Developmental delay + VP shunt |
Bhanage et al., 2015 [8] | 1 | 4 mts | Dermal sinus and tethered filum terminale | Leg weakness and infection (dorsal and lumbosacral intramedullary abscess (D11-S3) | Surgery + antibiotic therapy (Mycobacterium tuberculosis) | Left foot deformity with limping gait and a neurogenic bladder |
Singh et al., 2015 [11] | 3 (14.2%) out of a series of 21 cases | 9 mts to 15 yrs. (mean: 8.2 yrs) | Dermal sinus | Meningitis, intraspinal abscess and acute paraplegia | Surgery + antibiotic therapy | Persistent neurological deficit in one case, persistent sphincter deficit in all 3 cases |
Girishan et al., 2016 [9] | 10 | 8 to 24 mts (one case: 25 yrs) | Dermal sinus + intramedullary dermoid cyst | Rapid onset paraparesis secondary to infection (9 cases) or rupture of dermoid cyst in one case (quadriparesis) | Surgery + medical treatment (9 cases), only medical treatment (1 case) | Significant neurological improvement (8 cases), stable deficits (1 case), death (1 case, no surgery) |
Rashid et al., 2016 [10] | 1 | 2 yrs. | Dermal sinus | Infection (myelitis/polyradiculitis) with full motor/sensitive/sphincter deficit | Surgery + antibiotic therapy | Permanent neurological deficits |