Lipomyelomeningocele

Case summary:

Two year old girl presented with a swelling in the lower back and features suggestive of increased frequency of micturition and bladder dysfunction. X-ray lumbosacral spine showed deficient sacral posterior elements. MRI lumbosacral spine showed low lying conus with the cord ending at S3. There appeared to be a small intradural lipoma communicating with a CSF-filled sac in the subcutaneous plane of the sacral region via a spina bifida at S3-S5.