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Journal of the Korean Child Neurology Society 2002;10(2):351-355.
Published online November 30, 2002.
Intracranial Hypertension without Hydrocephalus in an Infant with a Spinal Lipoma.
Jun Hwa Lee, Hyun Mi Kim
Department of Pediatrics, College of Medicine, Ulsan University, Ulsan, Korea. ljh3643@hanmail.net
A 6-month-old female infant presented initially with a bulging of anterior fontanelle. A CT scanning of the brain was normal. On lumbar puncture, intrathecal pressure was increased to 60 cmH2O an d the results of cerebrospinal fluid analysis were normal. An MRI scan of lumbosacral spine revealed a tethered cord syndrome with an intradural lipoma. The patient underwent neurosurgical intervention. At 3 years of age, her ambulation and other developmental skills were normal without urinary or fecal incontinence. To our knowledge, intracranial hypertension without hydrocephalus has not been reported in patients with spinal lipomas. Our case, however, shows that a spinal lipoma which is not associated with intracranial lesions including hydrocephalus can be presented initially with a sign of intracranial hypertension. Therefore, this reports that spinal lipoma could be considered as a cause of intracranial hypertension in patients without intracranial lesions.
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