thanks for the second reply:)
Dear Katelynn:
The hydromyelia is likely caused by the process of disordered secondarily neurulation that caused the other abnormalities.
CCF Neuro MD
just one more ? i did chech her mri and they reported there was no sighn of a menigocele do you know wwhat else might cause that can that be a defect all of its own or is ther usually more going on?
Dear Katelynn:
Sorry to hear about your daughter. The condition of a tethered cord is associated with disorders of secondary neurulation, or also called occult dysraphism. The finding of a lipoma is one of the defects of the spinal column not developing correctly. Having the enlarged central canal is a part of the malformation, it is also called meningocele. Thus, the lipoma did not cause the central canal (which is there is all spinal cords but usually not present to any significant degree), but the malformation of spinal column differentiation lead to both the lipoma, meningocele, and tethered cord, and likely the hemivertebrae. I can't tell you for sure concerning the last question. The tethered cord release will likely be okay but the reasons for the tethered cord in the first place will remain. The clinical benefit will depend on the degree of all of these and the surgery. The surgeon doing the operation will know these best. I hope the surgery goes well.
Sincerely,
CCF Neuro MD
i am sorry the hemi vertabre are at L2 and L3 forgot to let go of caps sorry;)