Abstract
The authors describe the case of a 44-year-old woman who presented with recent onset of progressive paraparesis and bladder involvement; she had an asymptomatic lumbosacral lipomatous swelling that was present since birth. Magnetic resonance imaging confirmed the diagnosis of a lipomeningocele. It also revealed intramedullary hyperintensity on T2-weighted images and serpiginous flow voids suggestive of a dural arteriovenous fistula (DAVF) at the same level; the lesion was confirmed by spinal angiography. Both lesions were surgically managed, and the patient subsequently experienced neurological improvement. The coexistence of a DAVF and a lipomeningocele at the same level is unusual and can lead to treatment failure if missed.
Original language | English |
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Pages (from-to) | 386-389 |
Number of pages | 4 |
Journal | Journal of neurosurgery. Spine. |
Volume | 3 |
Issue number | 5 |
DOIs | |
Publication status | Published - Nov 2005 |
Externally published | Yes |
ASJC Scopus subject areas
- Surgery
- Neurology
- Clinical Neurology