Lumbar lipomyelomeningocele and sacrococcygeal teratoma in siblings

Support for an alternative theory of spinal teratoma formation - Report of 2 cases

Seth F. Oliveria, Eric M. Thompson, Nathan Selden

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Sacrococcygeal teratomas may arise in association with regional developmental errors affecting the caudal embryonic segments and may originate within lumbosacral lipomas. It is therefore possible that sacrococcygeal teratomas and lumbosacral lipomas represent related disorders of embryogenesis. Accordingly, the authors report the cases of 2 siblings. The first child (female) was born with a mature Altman Type III sacrococcygeal teratoma that was resected when she was a neonate. Subsequently, a younger brother was found soon after birth to have an L-4-level lipomyelomeningocele and underwent partial resection and spinal cord untethering at 4 months of age. Although familial forms of each of these conditions have been reported, this is, to the authors' knowledge, the first reported occurrence of lipomyelomeningocele and sacrococcygeal teratoma in siblings. They propose that an inherited regional tendency to developmental error affecting the caudal embryonic segments was shared by these siblings and resulted in spinal teratoma formation in one of them.

Original languageEnglish (US)
Pages (from-to)626-629
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume5
Issue number6
DOIs
StatePublished - Jun 2010

Fingerprint

Teratoma
Siblings
Lipoma
Embryonic Development
Spinal Cord
Lipomyelomeningocele
Parturition
Newborn Infant

Keywords

  • Embryogenesis
  • Lipoma
  • Lipomyelomeningocele
  • Sacrococcygeal teratoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

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abstract = "Sacrococcygeal teratomas may arise in association with regional developmental errors affecting the caudal embryonic segments and may originate within lumbosacral lipomas. It is therefore possible that sacrococcygeal teratomas and lumbosacral lipomas represent related disorders of embryogenesis. Accordingly, the authors report the cases of 2 siblings. The first child (female) was born with a mature Altman Type III sacrococcygeal teratoma that was resected when she was a neonate. Subsequently, a younger brother was found soon after birth to have an L-4-level lipomyelomeningocele and underwent partial resection and spinal cord untethering at 4 months of age. Although familial forms of each of these conditions have been reported, this is, to the authors' knowledge, the first reported occurrence of lipomyelomeningocele and sacrococcygeal teratoma in siblings. They propose that an inherited regional tendency to developmental error affecting the caudal embryonic segments was shared by these siblings and resulted in spinal teratoma formation in one of them.",
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