Lumbosacral lipoma in the adult: case report.

Abstract

LTHOUGH the most common cause of low back pain and lower extremity neurological deficit in the adult male is lumbar disc disease, other diagnostic possibilities must be borne in mind. Pediatric neurosurgeons are quite familiar with the occurrence of a subcutaneous lumbosacral lipoma connected to an intradural lipoma by a stalk which is said to be part of a rachischitic malformation; 1,3,',~-11,1'%14 the lesion is much less common in adults. flex was hypoactive. Overlying the low lumbar and upper sacral area was a subcutaneous lipoma with a small dimple. This region was mildly tender. Urinalysis, and blood studies including those for syphilis were negative. X-rays of the lumbosacral spine demonstrated spina bifida occulta at L-4 and L-5, and widened interpedicular distances at L-5 and S-1 (Fig. 1). A lumbar myelogram was attempted but