Spinal Lipoma Controversy

Spinal Lipoma Controversy definite m u scle w e a k n e ss in the foot. T h e p atien t w as referred CASE PROBLEMS to a pediatric neu rologist, w h o co n firm ed the high likelihood IN of a n eu rological a b n o rm a lity and ord ered a m agnetic reso­ N E U R O L O G IC A L SU R G ER Y nance im aging (MRI) study. T h e p atien t had n ev er had uri­ nary tract infections or difficulty w ith b o w e l or bladder con­ trol. She had no unusual sen sation s or n u m b n e s s in her lower * extrem ities. I " t o The p atien t's m edical history w as n o tab le only for tonsil­ lectom y at age 7 years. She w as receiv ing no m edications. She played softball and other sports and w as a good athlete. Her CL other fem ale siblings w ere in excellen t health. H er examina­ E r tion w as n orm http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Spinal Lipoma Controversy

definite m u scle w e a k n e ss in the foot. T h e p atien t w as referred CASE PROBLEMS to a pediatric neu rologist, w h o co n firm ed the high likelihood IN of a n eu rological a b n o rm a lity and ord ered a m agnetic reso­ N E U R O L O G IC A L SU R G ER Y nance im aging (MRI) study. T h e p atien t had n ev er had uri­ nary tract infections or difficulty w ith b o w e l or bladder con­ trol. She had no unusual sen sation s or n u m b n e s s in her lower * extrem ities. I " t o The p atien t's m edical history w as n o tab le only for tonsil­ lectom y at age 7 years. She w as receiv ing no m edications. She played softball and other sports and w as a good athlete. Her CL other fem ale siblings w ere in excellen t health. H er examina­ E r tion w as n orm al, excep t for findings related to her lower rz i - -D extrem ity. Her gluteal crease deviated slightly to the right, a » and there appeared to be so m e m in o r atro p h y in the upper *E gluteal m u scu latu re on the right. T h ere w as definite atrophy 0 © to JS detected b elow the knee on the right side, w ith a high arch on the right foot and a m uch sm aller right foot than the left. Clinical Case Presentation Form al testing revealed that there w as w e a k n e ss of dorsiflex- ion of the right foot and toes and ev ersion of the ankle; all of these m o v e m e n ts w ere easily o v e rco m e by the examiner. Paul C hapm an, M.D., Discussant There w as less p ro n o u n ced b u t definite w e a k n e ss on inver­ Massachusetts General Hospital sion at the ankle and plantar flexion of the feet and toes. Harvard Medical School M o v e m e n ts about the knee w ere strong. The p a tie n t's reflexes Boston, M assachusetts w ere very brisk at the right knee and right an kle and were h yp oactive to norm al on the left side. H er u p p er extremity Philip E. Stieg, Ph.D., M.D., Editor reflexes w ere hypoactive. T here w ere no d etectab le senson Subu...
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Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199901000-00113
Publisher site
See Article on Publisher Site

Abstract

definite m u scle w e a k n e ss in the foot. T h e p atien t w as referred CASE PROBLEMS to a pediatric neu rologist, w h o co n firm ed the high likelihood IN of a n eu rological a b n o rm a lity and ord ered a m agnetic reso­ N E U R O L O G IC A L SU R G ER Y nance im aging (MRI) study. T h e p atien t had n ev er had uri­ nary tract infections or difficulty w ith b o w e l or bladder con­ trol. She had no unusual sen sation s or n u m b n e s s in her lower * extrem ities. I " t o The p atien t's m edical history w as n o tab le only for tonsil­ lectom y at age 7 years. She w as receiv ing no m edications. She played softball and other sports and w as a good athlete. Her CL other fem ale siblings w ere in excellen t health. H er examina­ E r tion w as n orm

Journal

NeurosurgeryOxford University Press

Published: Jan 1, 1999

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