TERMINAL INTRADURAL LIPOMA IN A 2 YEAR 11 MONTHS OLD CHILD
A 2 year 11 months old female child had been presented at Ruby General Hospital with history of a gradually progressive soft swelling over the lower part of her back since birth and measuring approximately 4 cms X 5 cms. She was admitted under the expert care of Dr. Tamajit Chakraborty (Consultant Neurosurgeon). The child had undergone investigations which revealed Intradural Lipoma at L1, L2 levels with tethering of cord. A spinal cord tumour or an intradural tumour is a fatty lump that develops within the spinal canal or within the bones of the spine and begins within the spinal cord or the covering of the spinal cord (dura). The child developed difficulty in passing urine and a repeat MRI had been done with protocol for Spina Bifida (A birth defect in which an area of the spinal column does not form properly, leaving a section of the spinal cord and nerves exposed). After a detailed discussion with the parents and with written informed consent the treating child was posted for surgery. L 1-3 Laminectomy with excision of lipoma and detethering of cord had been performed and the postoperative period had been uneventful. The child had been advised to be kept in supine position and was actively moving all four limbs as well as passing urine and stool. The parents thanked the department of Neuro Surgery and were happy that they had chosen the right hospital for their daughter.