Rationale of Treatment of Lipomeningiomyelocele: Experience at Benha University Hospital
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- Category: Vol. 91, March 2023
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Rationale of Treatment of Lipomeningiomyelocele: Experience at Benha University Hospital,MOHAMMAD H. ELTANTAWY, MOHAMMED M. ELMAGHRABY, RABEA GOMAA and MOATAZ A. ELAWADY
Abstract
Background: Lipomyelomeningocele is a spectrum of closed neural tube defects that represents a challenge to neurosurgeons all over the world especially when associated with inherent tethered cord causing neurological deficit. Aim of Study: We try to define the rationale of managing lipomeningomyelocele according to our experience at the Neurosurgery Department of Benha University Hospital between January 2013 and January 2022. Patients and Methods: Retrospective study was carried out on 56 patients with lipomeningiomyelocele divided into 3 groups: •Group A: Patients without neurological or urological dete-rioration who were treated conservatively include 20 patients. •Group B: Patients without neurological or urological dete-rioration who underwent prophylactic early surgery include 16 patients. •Group C: Patients who were treated surgically after the onset of neurological or urological deterioration include 20 patients. Results: We noticed that 9 of the patients managed con-servatively (45%) continue to deteriorate while 7 of the patients managed surgically earlier than the appearance of deterioration (43.8%) continue to deteriorate with no statistically significant difference between the two groups in comparable follow-up periods. Conclusions: This study support the option of expectant treatment for a symptomatic patients as it carries nearly the same probability of developing deterioration in either nervous or urinary condition and surgery when deterioration started could stop this deterioration although could not reverse it.