The journal einstein (São Paulo) – e-ISSN 2317-6385 is dedicated to dissemination of high-quality scientific content that advances our understanding of human disease with the goal of improving prevention, care, diagnostics and treatment of patients globally.
A 36-year-old woman with a sudden history of low back pain radiating into the right lower extremity. The physical examination revealed paraparesis, saddle anesthesia and urinary incontinence. Magnetic resonance imaging revealed lipoma of the filum terminale (hyperintense sign within the filum terminale) (). The patient underwent surgery without delay with intraoperative neurophysiological monitoring (), and she had a full recovery of all neurological deficits.
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Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment
PereiraBJA, BatistaUC, Bechelli FilhoFN, RibeiroCAA, HolandaCVM, GalvãoPEC. Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment. Einstein (São Paulo) 2017;15(1):114. https://doi.org/10.1590/S1679-45082017AI3882
Pereira,Benedito Jamilson Araújo; Batista,Ulysses Caus; Bechelli Filho,Fúlvio Nicolau; Ribeiro,Carlos Alberto Afonso; Holanda,Carlos Vanderlei Medeiros de; Galvão,Paulo Eduardo Carvalho. Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment. Einstein (São Paulo), v. 15, n. 1, p. 114-114, Jan. 2017. https://doi.org/10.1590/S1679-45082017AI3882
Pereira,B.J.A., Batista,U.C., Bechelli Filho,F.N., Ribeiro,C.A.A., Holanda,C.V.M. , & Galvão,P.E.C. (2017). Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment. Einstein (São Paulo),15(1), 114-114. https://doi.org/10.1590/S1679-45082017AI3882
Pereira,Benedito Jamilson Araújo and Batista,Ulysses Caus and Bechelli Filho,Fúlvio Nicolau and Ribeiro,Carlos Alberto Afonso and Holanda,Carlos Vanderlei Medeiros de and Galvão,Paulo Eduardo Carvalho. Cauda equina syndrome caused by filum terminale lipoma: magnetic resonance imaging features and surgical treatment. Einstein (São Paulo) [online]. 2017, vol. 15, n. 1, [cited 2025-09-28], pp.114-114. Available from: <https://journal.einstein.br/article/cauda-equina-syndrome-caused-by-filum-terminale-lipoma-magnetic-resonance-imaging-features-and-surgical-treatment/>. ISSN 1679-4508. https://doi.org/10.1590/S1679-45082017AI3882
Figure 2
Operative findings surgical features: exposure of the dural sac (A), observe the lipoma of the filum terminale (arrow) and after dural sac open (B). Lipoma filum terminale (C), neurophysiological monitoring (D): tracings demonstrating amplitude of the wave and the number of stages before (continuous arrow) and after (dashed arrow). An increase was observed in amplitude of wave number and phase after resection of the lipoma of the filum terminale
Operative findings surgical features: exposure of the dural sac (A), observe the lipoma of the filum terminale (arrow) and after dural sac open (B). Lipoma filum terminale (C), neurophysiological monitoring (D): tracings demonstrating amplitude of the wave and the number of stages before (continuous arrow) and after (dashed arrow). An increase was observed in amplitude of wave number and phase after resection of the lipoma of the filum terminale