Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients
OBJECTIVE: To observe whether microsurgical removal of medullary lipomas and untethering of the medulla is a safe and efficient procedure. METHOD: A retrospective study was carried out on 38 patients with medullary lipomas associated with spinal dysraphism who underwent operations between January 19...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2011-08-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500019&lng=en&tlng=en |
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| _version_ | 1850256712205860864 |
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| author | José Carlos Lynch Juliano Corrêa Celestino Pereira |
| author_facet | José Carlos Lynch Juliano Corrêa Celestino Pereira |
| author_sort | José Carlos Lynch |
| collection | DOAJ |
| description | OBJECTIVE: To observe whether microsurgical removal of medullary lipomas and untethering of the medulla is a safe and efficient procedure. METHOD: A retrospective study was carried out on 38 patients with medullary lipomas associated with spinal dysraphism who underwent operations between January 1986 and January 2008, at the Neurosurgery Department of the Federal Hospital for State Public Servants, in Rio de Janeiro. RESULTS: No deaths occurred in this series, and there was no worsening of motor or bladder function among the patients. Seven individuals presented improvements in their motor deficit. Nine patients presented improvements in bladder function. Three individuals with trophic lesions achieved wound healing. CONCLUSION: Microsurgical removal of medullary lipomas associated with spinal dysraphism proved to be a safe procedure without deaths and with a low morbidity rate, and several patients achieved improvements in their neurological symptoms. |
| format | Article |
| id | doaj-art-3d14b6456c7a43e38127b85693d528b4 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2011-08-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-3d14b6456c7a43e38127b85693d528b42025-08-20T01:56:35ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-08-0169467668110.1590/S0004-282X2011000500019S0004-282X2011000500019Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patientsJosé Carlos LynchJuliano CorrêaCelestino PereiraOBJECTIVE: To observe whether microsurgical removal of medullary lipomas and untethering of the medulla is a safe and efficient procedure. METHOD: A retrospective study was carried out on 38 patients with medullary lipomas associated with spinal dysraphism who underwent operations between January 1986 and January 2008, at the Neurosurgery Department of the Federal Hospital for State Public Servants, in Rio de Janeiro. RESULTS: No deaths occurred in this series, and there was no worsening of motor or bladder function among the patients. Seven individuals presented improvements in their motor deficit. Nine patients presented improvements in bladder function. Three individuals with trophic lesions achieved wound healing. CONCLUSION: Microsurgical removal of medullary lipomas associated with spinal dysraphism proved to be a safe procedure without deaths and with a low morbidity rate, and several patients achieved improvements in their neurological symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500019&lng=en&tlng=endisrafismo espinhallipoma de cone medularlipoma lombo-sacrolipomielomeningocelemedula ancoradamicrocirurgia |
| spellingShingle | José Carlos Lynch Juliano Corrêa Celestino Pereira Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients Arquivos de Neuro-Psiquiatria disrafismo espinhal lipoma de cone medular lipoma lombo-sacro lipomielomeningocele medula ancorada microcirurgia |
| title | Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients |
| title_full | Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients |
| title_fullStr | Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients |
| title_full_unstemmed | Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients |
| title_short | Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients |
| title_sort | diagnosis of surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism experience with 38 patients |
| topic | disrafismo espinhal lipoma de cone medular lipoma lombo-sacro lipomielomeningocele medula ancorada microcirurgia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500019&lng=en&tlng=en |
| work_keys_str_mv | AT josecarloslynch diagnosisofsurgicaltechniqueforandtreatmentresultsfrommedullarylipomasassociatedwithspinaldysraphismexperiencewith38patients AT julianocorrea diagnosisofsurgicaltechniqueforandtreatmentresultsfrommedullarylipomasassociatedwithspinaldysraphismexperiencewith38patients AT celestinopereira diagnosisofsurgicaltechniqueforandtreatmentresultsfrommedullarylipomasassociatedwithspinaldysraphismexperiencewith38patients |