Prandota J, Jarlińska M
Oddział Nefrologiczny Wojewódzkiego Specjalistycznego Szpitala Chorób Dzieciecych im. J. Korczaka we Wrocławiu.
Pediatr Pol. 1996 Feb;71(2):153-6.
A case of an 11-year-old boy with giant lumbosacral spinal lipoma is presented. Hobbling on the left foot and its dropping was observed at the age of 9 after which left equinovarus foot and excavated foot deformities developed. Diurnal and nocturnal enuresis, infection of the urinary tract, and bilateral vesico-ureteral reflux were found. At birth, the patient had cleft palate and cleft upper lip, and bending of the interbuttocks groove, which is suggestive of occult spina bifida. It seems that in the case of orthopedic foot abnormalities developing in a previously healthy child, MRI investigation of the lumbosacral spine should be considered.
本文介绍了一例11岁患有巨大腰骶部脊髓脂肪瘤的男孩。该男孩9岁时出现左脚跛行及下垂，随后发展为左马蹄内翻足和足凹陷畸形。还发现有日间和夜间遗尿、尿路感染及双侧膀胱输尿管反流。患儿出生时伴有腭裂和唇裂，以及臀间沟弯曲，提示隐性脊柱裂。对于先前健康的儿童出现骨科足部异常的情况，似乎应考虑对腰骶部脊柱进行MRI检查。
