{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T07:04:01Z","timestamp":1648883041015},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>OBJECTIVE: To observe whether microsurgical removal of medullary lipomas and untethering of the medulla is a safe and efficient procedure. METHOD: A retrospective study was carried out on 38 patients with medullary lipomas associated with spinal dysraphism who underwent operations between January 1986 and January 2008, at the Neurosurgery Department of the Federal Hospital for State Public Servants, in Rio de Janeiro. RESULTS: No deaths occurred in this series, and there was no worsening of motor or bladder function among the patients. Seven individuals presented improvements in their motor deficit. Nine patients presented improvements in bladder function. Three individuals with trophic lesions achieved wound healing. CONCLUSION: Microsurgical removal of medullary lipomas associated with spinal dysraphism proved to be a safe procedure without deaths and with a low morbidity rate, and several patients achieved improvements in their neurological symptoms.<\/jats:p>","DOI":"10.1590\/s0004-282x2011000500019","type":"journal-article","created":{"date-parts":[[2011,8,25]],"date-time":"2011-08-25T14:16:34Z","timestamp":1314281794000},"page":"676-681","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis of, surgical technique for and treatment results from medullary lipomas associated with spinal dysraphism: experience with 38 patients"],"prefix":"10.1590","volume":"69","author":[{"given":"Jos\u00e9 Carlos","family":"Lynch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliano","family":"Corr\u00eaa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celestino","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/S0022-3476(68)80065-4","article-title":"Occult spinal dysraphism","volume":"73","author":"Anderson FM","year":"1968","journal-title":"J Pediatrics"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1136\/adc.40.210.207","article-title":"Lipoma of the cauda equine","volume":"40","author":"Dubowitz V","year":"1965","journal-title":"Arch Dis Child","ISSN":"http:\/\/id.crossref.org\/issn\/0003-9888","issn-type":"print"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/jns.1985.62.1.0001","article-title":"Management of lipomyelomeningoceles: experience at the Hospital for Sick Children","volume":"62","author":"Hoffmann HJ","year":"1985","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1136\/jnnp.30.2.174","article-title":"Lumbosacral lipomas: critical survey of 26 cases submitted to laminectomy","volume":"30","author":"Lassman LP","year":"1967","journal-title":"J Neurol Neurosurg Psychiatry","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3050","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1093\/neurosurgery\/25.CN_suppl_1.512","article-title":"Intramedullary spinal cord tumors","volume":"25","author":"Malis LI","year":"1977","journal-title":"Clin Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0069-4827","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"756","DOI":"10.3171\/jns.1986.65.6.0756","article-title":"Intraspinal lipomas with spina bifida: prognosis and treatment in 73 cases","volume":"65","author":"Pierre-Kahn A","year":"1986","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1093\/neurosurgery\/30.CN_suppl_1.464","article-title":"The management of the child with a lipomyelomeningocele","volume":"30","author":"Schut L","year":"1983","journal-title":"Clin Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0069-4827","issn-type":"print"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3171\/2009.9.PEDS09238","article-title":"Nondysraphic pediatric intramedullary spinal cord lipomas: report of 5 cases","volume":"5","author":"Flemins KL","year":"2010","journal-title":"J Neurosurg Pediatr"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"349","DOI":"10.3171\/jns.1971.34.3.0349","article-title":"Lipomas of the spinal cord and cauda equine","volume":"34","author":"Rogers HM","year":"1971","journal-title":"J. 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