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UCLA Neurosurgery

UCLA Neurosurgery

UCLA Neurosurgery
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    • Acoustic Neuroma
    • Adult Tethered Cord
    • Acromegaly
    • Acute Subdural Hematomas
    • Anaplastic Astrocytoma (AA)
    • Ankylosing Spondylitis
    • Aqueductal Stenosis
    • Arachnoid Cysts
    • Arnold Chiari Malformation
    • Arteriovenous Malformation (AVM)
    • Astrocytoma
    • Ballism
    • Basilar Invagination
    • Brachial Plexus Injury
    • Brain Aneurysm
    • Brain Attack (Stroke)
    • Brain AVM
    • Brain Conditions
    • Brain Metastases
    • Brainstem Glioma
    • Carotid Dissection
    • Carotid Stenosis
    • Carpal Tunnel Syndrome
    • Causalgia
    • Cavernous Angioma
    • Cerebral Aneurysms
    • Cerebral Contusion and Intracerebral Hematoma
    • Chordomas
    • Chorea
    • Chronic Subdural Hematomas
    • Colloid Cyst
    • Coma
    • Concussion
    • Congenital Dermal Sinus
    • Cranial GunShot Wounds
    • Craniopharyngioma
    • Craniosynostosis
    • Cushing's Disease
    • Cyst Epidermoid Tumor
    • Dandy Walker Syndrome
    • Degenerative Disc Disease
    • Dermoid Tumor
    • Disc Herniation
    • Dural Arteriovenous Malformations
    • Dystonia
    • Ependymoma
    • Epidermoid Tumor (Cyst)
    • Epidural Hematomas
    • Epilepsy
    • Essential Tremor
    • Extratemporal Lobe Epilepsies
    • Facet Joint Syndrome
    • Fibromyalgia
    • Frontal Lobe Epilepsy
    • Ganglioglioma
    • Glioblastoma
    • Germinoma
    • Glioma
    • Glomus Jugulare Tumor
    • Glossopharyngeal Neuralgia
    • Hemangioblastomas
    • Hemi-Facial Spasm
    • Hydrocephalus
    • Hyperhidrosis
    • Intracerebral Hemorrhage
    • Intracranial Hypotension
    • JPA
    • Low-Grade Astrocytoma
    • Lymphocytic Hypophysitis
    • Lymphoma
    • Malignant Nerve Sheath Tumors
    • Medulloblastoma
    • Meningioma Brain Tumor
    • Meralgia Paresthetica
    • Metastatic Brain Tumors
    • Moyamoya Disease
    • Myelomeningocele
    • Myelopathy
    • Nelson's Syndrome
    • Neurocysticercosis
    • Neurofibromatosis Type 2 and Schwannomatosis
    • Normal Pressure Hydrocephalus
    • Oligodendroglioma
    • Optic Nerve Glioma
    • Osteoarthritis of the Peripheral Joint
    • Osteoarthritis of the Spine
    • Osteomyelitis
    • Osteoporotic Vertebral Fractures
    • Parkinsons Syndrome
    • Pediatric Conditions
    • Pediatric Hydrocephalus
    • Peripheral Nerve Injury
    • Phantom Limb Pain
    • Pineal Tumor
    • Pineoblastoma
    • Pineocytoma
    • Platybasia
    • Postherpetic Neuralgia
    • Post-Traumatic Seizures
    • Primary CNS Lymphoma
    • Pseudotumor Cerebri
    • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
    • Recurrent Adenomas
    • Rheumatoid Arthritis
    • Schwannomas
    • Scoliosis
    • Seizure
    • Skull Fracture
    • Slit Ventricle Syndrome
    • Spasticity
    • Spinal Arteriovenous Malformation (AVM)
    • Spinal Compression Fractures
    • Spine Conditions
    • Spinal Cord Injury
    • Spinal Cord Lipomas & Lipomyelomeningoceles
    • Spinal Cord Tumors
    • Stenosis
    • Subarachnoid Hemorrhage
    • Syringomyelia
    • Tethered Cord Syndrome
    • Thoracic Outlet Syndrome
    • Thyrotroph (TSH) Secreting Adenomas
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UCLA Neurosurgery

Conditions Treated

Conditions Treated

Conditions Treated

  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  1. Home
  2. Conditions Treated
  3. Spinal Cord Lipomas & Lipomyelomeningoceles

Spinal Cord Lipomas & Lipomyelomeningoceles

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About Spinal Cord Lipomas & Lipomyelomeningoceles

Spinal cord lipomas and lipomyelomeningoceles are both associated with abnormal fat accumulation in and around the spinal cord.

Lipomas

  • General Information
    • A spinal cord lipoma is fat within the normally positioned spinal cord without any skin or bony abnormalities.
    • Most commonly these rare lesions are located within the thoracic spinal cord.
    • They may be symptomatic and appear most often in adults.

  • Symptoms
    • Spinal cord compression can cause numbness and tingling, weakness, difficulty with urinating or bowel movements, incontinence, and stiffness of the extremities.

  • Treatment
    • A laminectomy is performed to gain access to the spinal cord. The goal of surgery is to reduce the size of the lipoma, not total removal of the fat. No other treatment method is recommended.

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Lipomyelomeningocele

  • General Information
    • This is a lesion present at birth that is associated with spina bifida (congenital failure of the spinal bones to close).
    • The condition is associated with abnormal fat accumulation that starts below the skin and extends through the bony opening to the spinal cord.
    • These lesions become evident within the first few months to years of life and affect females more than males in a 1.5 to 1 ratio.

  • Symptoms
    • More than 90 percent of patients will have an obvious soft tissue swelling over the spine in the lower back. These lesions are covered by skin and are not painful.
    • Patients may lose neurological function within the first few weeks after birth but more typically function deteriorates over a period of months to years.
    • Neurological symptoms usually include weakness, and bladder and bowel incontinence. The weakness may be symmetrical or asymmetrical and may result in atrophy of the lower extremities.
    • In older adolescents and adults, pain may be the driving force to bring the patient to a doctor. The pain may radiate and be difficult to describe. Back mobility may be limited.

  • Diagnosis
    • MRI has become the imaging procedure of choice for lipomyelomeningoceles and spinal cord lipomas. These scans give extraordinary anatomical details that help the surgeon plan the operative procedure.
    • Plain x-rays show spina bifida in most cases.

  • Treatment
    • The goals of surgery are to release the attachment of the fat (tethering) to the spinal cord and reduce the bulk of the fatty tumor.
    • Simple cosmetic treatment does not prevent neurologic difficulties and may make later, more complete treatment difficult.
    • Surgical treatment is recommended when the patient reaches age 2 months or at the time of diagnosis if symptoms occur at a later age.

  • Outcome
    • With surgery, 19 percent of patients will improve, 75 percent will be unchanged, and 6 percent will worsen.

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