Filum terminale lipoma

Filum terminale lipoma is a condition characterized by the presence of a fatty mass within the filum terminale, a delicate filament of tissue that extends from the conus medullaris (the terminal end of the spinal cord) to the coccyx.

This condition is considered a form of spinal dysraphism, a group of disorders attributed to anomalies in spinal cord development.

The presence of the lipoma can lead to tethering of the spinal cord, which may result in neurological symptoms.

These can include back pain, leg weakness, sensory deficits, and bladder or bowel dysfunction.

In some cases, particularly when the lipoma is small and asymptomatic, the condition may be discovered incidentally on imaging studies.

Diagnosis of a filum terminale lipoma is typically confirmed via MRI, which provides detailed images of the spine and surrounding structures.

Early detection and management are crucial, particularly in symptomatic cases, to prevent progressive neurological damage.

Treatment often involves surgical intervention to release the tethered cord, thereby alleviating symptoms and preventing further neurological decline.

It's essential for healthcare providers to consider this condition in patients presenting with unexplained neurological symptoms, particularly in pediatric populations, as early intervention can significantly impact outcomes.

Regular monitoring and follow-up care are important components of managing this condition to ensure the best possible quality of life for affected individuals.