Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment
نویسندگان
چکیده
DOI: 10.1590/S1679-45082017AI3882 A 36-year-old woman with a sudden history of low back pain radiating into the right lower extremity. The physical examination revealed paraparesis, saddle anesthesia and urinary incontinence. Magnetic resonance imaging revealed lipoma of the filum terminale (hyperintense sign within the filum terminale) (Figure 1). The patient underwent surgery without delay with intraoperative neurophysiological monitoring (Figure 2), and she had a full recovery of all neurological deficits. Figure 1. Pre-operative images. T1-weighted magnetic resonance images showing a lipoma of the filum terminale (hyperintense sign within the filum terminale, white arrow) in sagittal (A) and axial (B) planes A B A
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