Radiology Teaching Files > Case 22193148

Contributed by: bala chandiran, Radiologist, govt.general hospital,pondicherry, India.
Patient: 1 year old female
History: A one year old female child was referred for evaluation of large cystic mass in the back of neck.
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Findings: MRI plain in TIW and T2W show a 3.5 x 3.0 mm hyperintense focus in extramedullary location at the level of C6/C7.There was a spina bifida at the same level with a large myelomeningocele.There was no other abnomality like klippel-feil,chiari malformation,etc.
Diagnosis: cervial spinal lipoma and myelo-meningocele.
Discussion: Simple meningoceles are infrequent forms of dysraphism and are often benign. They have been associated with other spinal anomalies. The uncommon cervical meningocele may have a higher propensity to be associated with other spinal anomalies. Multiple abnormalities have been documented radiographically and operatively, including hydrocephalus, Chiari malformation, hydromyelia, lipomeningomyelocele, tethered cord, thickened filum terminale, diastematomyelia, Klippel-Feil syndrome, and hemivertebrae. Prior to the development of any late neurological abnormality from associated spinal anomalies, magnetic resonance imaging is recommended early in a child born with a simple meningocele.
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Additional Details:

Case Number: 22193148Last Updated: 12-28-2008
Anatomy: Spine and Peripheral Nervous System   Pathology: Congenital
Modality: MRAccess Level: Readable by all users
Keywords: cervical spinal lipoma and myelomeningocele.

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