Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage
Occult spinal dysraphism with spinal lipoma, is a rare congenital spinal dysraphic anomaly which usually involves lumbosacral region and manifests in childhood. In the present article, we discuss a case of a 26-year-old man who developed sudden low back pain following intercourse. Magnetic resonance...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588040 |
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| author | Amit Agrawal Vissa Santhi Ranjan Kumar Jena Umamaheswara Reddy V Yashwant Sandeep |
| author_facet | Amit Agrawal Vissa Santhi Ranjan Kumar Jena Umamaheswara Reddy V Yashwant Sandeep |
| author_sort | Amit Agrawal |
| collection | DOAJ |
| description | Occult spinal dysraphism with spinal lipoma, is a rare congenital spinal dysraphic anomaly which usually involves lumbosacral region and manifests in childhood. In the present article, we discuss a case of a 26-year-old man who developed sudden low back pain following intercourse. Magnetic resonance imaging of the lumbosacral spine was suggestive of spina bifida occulta with hemorrhage. The patient underwent a L4–5 laminectomy in the emergency. There was the presence of altered blood in the vicinity of the lesion suggestive of recent hemorrhage. Histopathological examination of the lesion was suggestive of the lipoma. In the present case, the patient had occult spina bifida due to lumbosacral lipoma leading to the tethering of the dura. Strenuous activity resulted in overstretching of the tethered structures and subsequent hemorrhage and intense low back pain which responded well to the surgical treatment. |
| format | Article |
| id | doaj-art-f92bcc39f4ea4450813a8f95dee4ee5f |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-f92bcc39f4ea4450813a8f95dee4ee5f2025-08-20T03:06:13ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672017-03-01060107908110.1055/s-0036-1588040Spina Bifida Occulta in an Adult Presenting as Perilesional HemorrhageAmit Agrawal0Vissa Santhi1Ranjan Kumar Jena2Umamaheswara Reddy V3Yashwant Sandeep4Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Pathology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaOccult spinal dysraphism with spinal lipoma, is a rare congenital spinal dysraphic anomaly which usually involves lumbosacral region and manifests in childhood. In the present article, we discuss a case of a 26-year-old man who developed sudden low back pain following intercourse. Magnetic resonance imaging of the lumbosacral spine was suggestive of spina bifida occulta with hemorrhage. The patient underwent a L4–5 laminectomy in the emergency. There was the presence of altered blood in the vicinity of the lesion suggestive of recent hemorrhage. Histopathological examination of the lesion was suggestive of the lipoma. In the present case, the patient had occult spina bifida due to lumbosacral lipoma leading to the tethering of the dura. Strenuous activity resulted in overstretching of the tethered structures and subsequent hemorrhage and intense low back pain which responded well to the surgical treatment.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588040spina bifida occultaspinal dysraphismlipomaintraspinal lipoma |
| spellingShingle | Amit Agrawal Vissa Santhi Ranjan Kumar Jena Umamaheswara Reddy V Yashwant Sandeep Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage Indian Journal of Neurosurgery spina bifida occulta spinal dysraphism lipoma intraspinal lipoma |
| title | Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage |
| title_full | Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage |
| title_fullStr | Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage |
| title_full_unstemmed | Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage |
| title_short | Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage |
| title_sort | spina bifida occulta in an adult presenting as perilesional hemorrhage |
| topic | spina bifida occulta spinal dysraphism lipoma intraspinal lipoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588040 |
| work_keys_str_mv | AT amitagrawal spinabifidaoccultainanadultpresentingasperilesionalhemorrhage AT vissasanthi spinabifidaoccultainanadultpresentingasperilesionalhemorrhage AT ranjankumarjena spinabifidaoccultainanadultpresentingasperilesionalhemorrhage AT umamaheswarareddyv spinabifidaoccultainanadultpresentingasperilesionalhemorrhage AT yashwantsandeep spinabifidaoccultainanadultpresentingasperilesionalhemorrhage |