{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T14:41:46Z","timestamp":1681569706428},"reference-count":35,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:p>Congenital spinal lipomas of the conus (SLCs) are among the most common closed neural tube defects. The treatment of SLC is an area of controversy because the true natural history of this condition is unknown. Here, the authors present two cases of SLC presenting in infancy with compromised lower urinary tract function, which was objectively confirmed by abnormal urodynamic studies. In both cases, there was spontaneous improvement in urodynamic parameters, with stable normal urinary function at the long-term follow-up. Although cases of spontaneous radiological regression of SLC have very infrequently been reported, they have not been associated with the reversal of already present neurological deficits. This report reinforces the need for further delineation of the true natural history of SLC and highlights the dynamic nature of associated neurological compromise over time.<\/jats:p>","DOI":"10.3171\/2014.2.peds13519","type":"journal-article","created":{"date-parts":[[2014,3,28]],"date-time":"2014-03-28T23:01:49Z","timestamp":1396047709000},"page":"536-540","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous improvement in urological dysfunction in children with congenital spinal lipomas of the conus medullaris"],"prefix":"10.3171","volume":"13","author":[{"given":"Jetan H.","family":"Badhiwala","sequence":"first","affiliation":[{"name":"Michael G. DeGroote School of Medicine, McMaster University, Hamilton; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Divisions of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando J.","family":"Lorenzo","sequence":"additional","affiliation":[{"name":"Urology, The Hospital for Sick Children, University of Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhaya V.","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Divisions of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds13519","series-title":"Am J Med Genet A","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1002\/ajmg.a.34383","article-title":"Spina bifida subtypes and sub-phenotypes by maternal race\/ethnicity in the National Birth Defects Prevention Study","volume":"158A","author":"Agopian","year":"2012"},{"key":"b2-peds13519","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1016\/S0022-5347(17)36662-4","article-title":"Bladder functional changes resulting from lipomyelomeningocele repair","volume":"148","author":"Atala","year":"1992"},{"key":"b3-peds13519","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1001\/jama.1984.03350050038023","article-title":"Predictive value of urodynamic evaluation in newborns with myelodysplasia","volume":"252","author":"Bauer","year":"1984"},{"issue":"1","key":"b4-peds13519","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Spinal lipomas","volume":"10","author":"Blount","year":"2001"},{"key":"b5-peds13519","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1159\/000120956","article-title":"Operative resection of 100 spinal lipomas in infants less than 1 year of age","volume":"23","author":"Byrne","year":"1995"},{"key":"b6-peds13519","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1016\/S0022-5347(17)36597-7","article-title":"Urodynamic dysfunction in walking myelodysplastic children","volume":"148","author":"Dator","year":"1992"},{"key":"b7-peds13519","series-title":"Nat Rev Urol","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1038\/nrurol.2009.200","article-title":"Urodynamic studies in pediatric urology","volume":"6","author":"de Jong","year":"2009"},{"key":"b8-peds13519","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1097\/00006123-199807000-00096","article-title":"Spontaneous shrinkage of lumbosacral lipoma in conjunction with a general decrease in body fat: case report","volume":"43","author":"Endoh","year":"1998"},{"key":"b9-peds13519","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1016\/S0022-5347(01)65216-9","article-title":"Urodynamic findings in the tethered spinal cord syndrome: does surgical release improve bladder function?","volume":"157","author":"Fone","year":"1997"},{"key":"b10-peds13519","series-title":"Birth Defects Res A Clin Mol Teratol","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1002\/bdra.20092","article-title":"Descriptive epidemiology of lipomyelomeningocele, Hawaii, 1986\u20132001","volume":"70","author":"Forrester","year":"2004"},{"key":"b11-peds13519","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/jns.1985.62.1.0001","article-title":"Management of lipomyelomeningoceles. 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