Lipoma with dorsal defect (includes spectrum of LMCs & LMMCs)
Lipomyeloschisis
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Vora TK et al: Early- and long-term surgical outcomes in 109 children with lipomyelomeningocele. Childs Nerv Syst. 37(5):1623-32, 2021
Rhodes RH: Congenital spinal lipomatous malformations. Part 1. Spinal lipomas, lipomyeloceles, and lipomyelomeningoceles. Fetal Pediatr Pathol. 1-52, 2019
Sarmento-Gonçalves I et al: Fetal lipomyelomeningocele: a closed neural tube defect diagnosed at second-trimester ultrasound examination. J Clin Ultrasound. 47(3):169-71, 2019
Barkovich AJ et al: Pediatric Neuroimaging. 6th ed. Wolters Kluwer. 996-98, 2018
O'Neill BR et al: Use of magnetic resonance imaging to detect occult spinal dysraphism in infants. J Neurosurg Pediatr. 19(2):217-6, 2017
Yu X et al: LUMBAR syndrome: a case manifesting as cutaneous infantile hemangiomas of the lower extremity, perineum and gluteal region, and a review of published work. J Dermatol. 44(7):808-12, 2017
Goodrich DJ et al: Symptomatic retethering of the spinal cord in postoperative lipomyelomeningocele patients: a meta-analysis. Childs Nerv Syst. 32(1):121-6, 2016
Nagaraj UD et al: Differentiating closed versus open spinal dysraphisms on fetal MRI. AJR Am J Roentgenol. 207(6):1316-23, 2016
May L et al: Lack of uniformity in the clinical assessment of children with lipomyelomeningocele: a review of the literature and recommendations for the future. Childs Nerv Syst. 29(6):961-70, 2013
Segal LS et al: The spectrum of musculoskeletal problems in lipomyelomeningocele. J Child Orthop. 7(6):513-9, 2013
Sarris CE et al: Lipomyelomeningocele: pathology, treatment, and outcomes. Neurosurg Focus. 33(4):E3, 2012
Rufener SL et al: Congenital spine and spinal cord malformations--pictorial review. AJR Am J Roentgenol. 194(3 Suppl):S26-37, 2010
Oi S et al: Embryopathogenetic surgicoanatomical classification of dysraphism and surgical outcome of spinal lipoma: a nationwide multicenter cooperative study in Japan. J Neurosurg Pediatr. 3(5):412-9, 2009
Cochrane DD: Cord untethering for lipomyelomeningocele: expectation after surgery. Neurosurg Focus. 23(2):1-7, 2007
Tubbs RS et al: Critical analysis of the Chiari malformation type I found in children with lipomyelomeningocele. J Neurosurg. 106(3 Suppl):196-200, 2007
McNeely PD et al: Ineffectiveness of dietary folic acid supplementation on the incidence of lipomyelomeningocele: pathogenetic implications. J Neurosurg. 100(2):98-100, 2004
Rossi A et al: Imaging in spine and spinal cord malformations. Eur J Radiol. 50(2):177-200, 2004
Schoenmakers MA et al: Long-term outcome of neurosurgical untethering on neurosegmental motor and ambulation levels. Dev Med Child Neurol. 45(8):551-5, 2003
Kim SY et al: Prenatal diagnosis of lipomyelomeningocele. J Ultrasound Med. 19(11):801-5, 2000
Tortori-Donati P et al: Spinal dysraphism: a review of neuroradiological features with embryological correlations and proposal for a new classification. Neuroradiology 42(7): 471-91, 2000
Colak A et al: Recurrent tethering: a common long-term problem after lipomyelomeningocele repair. Pediatr Neurosurg. 29(4):184-90, 1998
Chreston J et al: Sonographic detection of lipomyelomeningocele: a retrospective documentation. J Clin Ultrasound. 25(1):50-1, 1997
Pierre-Kahn A et al: Congenital lumbosacral lipomas. Childs Nerv Syst. 13(6):298-334; discussion 335, 1997
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Lipomyelomeningocele (LMMC), lipomyelocele (LMC)
Synonyms
Lipoma with dorsal defect (includes spectrum of LMCs & LMMCs)
Lipomyeloschisis
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Vora TK et al: Early- and long-term surgical outcomes in 109 children with lipomyelomeningocele. Childs Nerv Syst. 37(5):1623-32, 2021
Rhodes RH: Congenital spinal lipomatous malformations. Part 1. Spinal lipomas, lipomyeloceles, and lipomyelomeningoceles. Fetal Pediatr Pathol. 1-52, 2019
Sarmento-Gonçalves I et al: Fetal lipomyelomeningocele: a closed neural tube defect diagnosed at second-trimester ultrasound examination. J Clin Ultrasound. 47(3):169-71, 2019
Barkovich AJ et al: Pediatric Neuroimaging. 6th ed. Wolters Kluwer. 996-98, 2018
O'Neill BR et al: Use of magnetic resonance imaging to detect occult spinal dysraphism in infants. J Neurosurg Pediatr. 19(2):217-6, 2017
Yu X et al: LUMBAR syndrome: a case manifesting as cutaneous infantile hemangiomas of the lower extremity, perineum and gluteal region, and a review of published work. J Dermatol. 44(7):808-12, 2017
Goodrich DJ et al: Symptomatic retethering of the spinal cord in postoperative lipomyelomeningocele patients: a meta-analysis. Childs Nerv Syst. 32(1):121-6, 2016
Nagaraj UD et al: Differentiating closed versus open spinal dysraphisms on fetal MRI. AJR Am J Roentgenol. 207(6):1316-23, 2016
May L et al: Lack of uniformity in the clinical assessment of children with lipomyelomeningocele: a review of the literature and recommendations for the future. Childs Nerv Syst. 29(6):961-70, 2013
Segal LS et al: The spectrum of musculoskeletal problems in lipomyelomeningocele. J Child Orthop. 7(6):513-9, 2013
Sarris CE et al: Lipomyelomeningocele: pathology, treatment, and outcomes. Neurosurg Focus. 33(4):E3, 2012
Rufener SL et al: Congenital spine and spinal cord malformations--pictorial review. AJR Am J Roentgenol. 194(3 Suppl):S26-37, 2010
Oi S et al: Embryopathogenetic surgicoanatomical classification of dysraphism and surgical outcome of spinal lipoma: a nationwide multicenter cooperative study in Japan. J Neurosurg Pediatr. 3(5):412-9, 2009
Cochrane DD: Cord untethering for lipomyelomeningocele: expectation after surgery. Neurosurg Focus. 23(2):1-7, 2007
Tubbs RS et al: Critical analysis of the Chiari malformation type I found in children with lipomyelomeningocele. J Neurosurg. 106(3 Suppl):196-200, 2007
McNeely PD et al: Ineffectiveness of dietary folic acid supplementation on the incidence of lipomyelomeningocele: pathogenetic implications. J Neurosurg. 100(2):98-100, 2004
Rossi A et al: Imaging in spine and spinal cord malformations. Eur J Radiol. 50(2):177-200, 2004
Schoenmakers MA et al: Long-term outcome of neurosurgical untethering on neurosegmental motor and ambulation levels. Dev Med Child Neurol. 45(8):551-5, 2003
Kim SY et al: Prenatal diagnosis of lipomyelomeningocele. J Ultrasound Med. 19(11):801-5, 2000
Tortori-Donati P et al: Spinal dysraphism: a review of neuroradiological features with embryological correlations and proposal for a new classification. Neuroradiology 42(7): 471-91, 2000
Colak A et al: Recurrent tethering: a common long-term problem after lipomyelomeningocele repair. Pediatr Neurosurg. 29(4):184-90, 1998
Chreston J et al: Sonographic detection of lipomyelomeningocele: a retrospective documentation. J Clin Ultrasound. 25(1):50-1, 1997
Pierre-Kahn A et al: Congenital lumbosacral lipomas. Childs Nerv Syst. 13(6):298-334; discussion 335, 1997
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