Highlights
- •Spinal lipomas associated with closed spinal dysraphism are better described as spinal hamartomas.
- •Spinal hamartomas contain unencapsulated and infiltrating fat along with other heterotopic soft tissue.
- •Presence of bone in this setting is called ossified dysraphic hamartoma.
- •Knowledge of presence of well-formed bone helps in surgical planning.
Abstract
Traditionally the presence of fat in closed spinal dysraphism has been referred to
as spinal lipoma. Recent reports suggest that these spinal lesions are better described
as spinal hamartomas due to the unencapsulated and infiltrating nature of the fat
and presence of other heterotopic soft tissue. The presence of ossified bone in spinal
hamartomas referred to as ossified dysraphic hamartoma, is extremely rare with only
three case reports in literature, all associated with lipomyeloceles, none with lipomyelomeningoceles.
We present three cases of ossified dysraphic hamartoma, two of them associated with
lipomyelomeningoceles, reviewing imaging features on CT and MRI.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A new understanding of dorsal dysraphism with lipoma (lipomyeloschisis): radiologic evaluation and surgical correction.AJR Am. J. Roentgenol. 1983 Jun; 140 (PubMed PMID: 6344595): 1065-1078
- Congenital spine and spinal cord malformations—pictorial review.AJR Am. J. Roentgenol. 2010 Mar; 194 (PubMed PMID: 20173174): S26-S37
- Spinal hamartoma associated with spinal dysraphism.Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery. 2006 Sep; 22 (PubMed PMID: 16328392): 1098-1102
- Congenital spinal lipomas—tumor versus hamartoma.Indian J. Pediatr. 1999 Nov–Dec; 66 (PubMed PMID: 10798163): 940-944
- Osseous dysraphic hamartoma — a completely formed, aberrantly located, supralaminar rib in a lumbar lipomyelocele.Neurol. India. 2016 Jan-Feb; 64 (PubMed PMID: 26755020): 182-184
- Congenital spinal cord anomalies: a pictorial review.Curr. Probl. Diagn. Radiol. 2013 Mar-Apr; 42 (PubMed PMID: 23332138): 57-66
- Congenital intraspinal lipomas: histological analysis of 234 cases and review of the literature.Pediatric and Developmental Pathology: The Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society. 1999 Jul–Aug; 2 (PubMed PMID: 10347278): 346-352
- Lipomyelocele with osseous dysraphic hamartoma: a rare case report.Br. J. Neurosurg. 2015; 29 (PubMed PMID: 26098604): 879-880
- Lipomyelocele with osseous dysraphic hamartoma in a child: a case report.J. Pediatr. Orthop. B. 2010 Jul; 19 (PubMed PMID: 20375914): 382-384
Article info
Publication history
Published online: January 30, 2017
Accepted:
January 24,
2017
Received in revised form:
January 17,
2017
Received:
September 8,
2016
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.