An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots

An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots

We report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electr...

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Main Authors: Archana B Netto, Sanjib Sinha, Arun B Taly, Chandrajit Prasad, A Mahadevan, PS Bindu, Ravinder J Sidhu, TC Yasha
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2012-01-01
Series:Journal of Neurosciences in Rural Practice
Subjects:
cord lipoma
limb hypertrophy
neurogenic
tethered cord
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.91972
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spelling doaj-d66f496194754b2399444d425d3c31712021-04-02T13:34:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552012-01-010301899210.4103/0976-3147.91972An unusual case of unilateral limb hypertrophy: Lipoma of sacral rootsArchana B Netto0Sanjib Sinha1Arun B Taly2Chandrajit Prasad3A Mahadevan4PS Bindu5Ravinder J Sidhu6TC Yasha7Departments of Neurology, IndiaDepartments of Neurology, IndiaDepartments of Neurology, IndiaDepartments of Neurology, Neuroimaging and Interventional Neuroradiology,IndiaDepartments of Neuropathology, National Institute of Mental Health and NeuroSciences (NIMHANS), Bangalore, IndiaDepartments of Neurology, IndiaDepartments of Neurology, IndiaDepartments of Neuropathology, National Institute of Mental Health and NeuroSciences (NIMHANS), Bangalore, IndiaWe report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electromyography revealed neurogenic features consistent with S1 radiculopathy. MRI of the lumbosacral spine showed tethered cord with a lipoma infiltrating multiple sacral roots. Our case illustrates that muscular pseudo hypertrophy may follow chronic denervation as a consequence of spinal neural compressive disease. The various mechanisms postulated for this distinct condition are outlined.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.91972cord lipomalimb hypertrophyneurogenictethered cord
collection DOAJ
language English
format Article
sources DOAJ
author Archana B Netto
Sanjib Sinha
Arun B Taly
Chandrajit Prasad
A Mahadevan
PS Bindu
Ravinder J Sidhu
TC Yasha
spellingShingle Archana B Netto
Sanjib Sinha
Arun B Taly
Chandrajit Prasad
A Mahadevan
PS Bindu
Ravinder J Sidhu
TC Yasha
An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
Journal of Neurosciences in Rural Practice
cord lipoma
limb hypertrophy
neurogenic
tethered cord
author_facet Archana B Netto
Sanjib Sinha
Arun B Taly
Chandrajit Prasad
A Mahadevan
PS Bindu
Ravinder J Sidhu
TC Yasha
author_sort Archana B Netto
title An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_short An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_full An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_fullStr An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_full_unstemmed An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_sort unusual case of unilateral limb hypertrophy: lipoma of sacral roots
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series Journal of Neurosciences in Rural Practice
issn 0976-3147
0976-3155
publishDate 2012-01-01
description We report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electromyography revealed neurogenic features consistent with S1 radiculopathy. MRI of the lumbosacral spine showed tethered cord with a lipoma infiltrating multiple sacral roots. Our case illustrates that muscular pseudo hypertrophy may follow chronic denervation as a consequence of spinal neural compressive disease. The various mechanisms postulated for this distinct condition are outlined.
topic cord lipoma
limb hypertrophy
neurogenic
tethered cord
url http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.91972
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