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Editorial
. 2020 Mar;10(3):549-553.
doi: 10.21037/qims.2020.02.04.

Spinal dysraphisms: highlighting discrepancies in the current literature and emphasizing on the need for a consensus

Ankit Balani  1 , Chinky Chatur  1 , Asthik Biswas  2 , Ozgur Oztekin  3 , Kshitij Mankad  1
Affiliations
Editorial

Spinal dysraphisms: highlighting discrepancies in the current literature and emphasizing on the need for a consensus

Ankit Balani et al. Quant Imaging Med Surg. 2020 Mar.
No abstract available

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Conflict of interest statement

Conflicts of Interest: KM serves as an unpaid Associate Editor of Quantitative Imaging in Medicine and Surgery. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Nine-week old boy with cloacal exstrophy. MRI of spine in T1 sagittal (A), T2 sagittal (B), T1 axials (C,D) showing spinal lipoma (black arrows) on the dorsal surface of cord sparing the distal conus medullaris (white arrow), showing sharp line of demarcation, however, there was no obvious dural defect due to the lipoma (dashed black arrow), thereby this case did not fit exactly in the existing classification systems. There was lack of the pathological dural defect at the level of lipoma for it to be Type 1 lipoma according to Morota et al./Pang et al. dorsal type of lipoma. The well-formed caudal end of conus medullaris and the location of lipoma in relation to cord ruled out the possibility of Type 3 lipoma according to Morota et al./Pang et al. terminal type of lipoma.
Figure 2
Figure 2
Eighteen-month old girl with skin covered lump in the back with MRI of spine in T1 sagittal (A), T2 sagittal (B), T1 axials (C,D,E,F) showing a dural defect with spinal lipoma (pathological spina bifida) (black asterisk) with a discrete fusion line at the lipoma-cord interface on sagittal imaging (black arrows) and lipoma seen caudal to the conus medullaris suggesting possible Pang et al. transitional type lipoma/type 1 lipoma according to Morota et al. However, there appears to be a blurred interface with conus medullaris on axial imaging (D,E) (dashed black arrow) with the caudal portion of lipoma extending ventral to the neural placode (A,E) (white arrow) pointing towards possible Pang et al. Chaotic type lipoma/type 2 lipoma according to Morota et al.
See this image and copyright information in PMC

References

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