{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T01:05:45Z","timestamp":1779843945403,"version":"3.53.1"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"21","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,5,25]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Cervical lipomyelomeningocele (LMMC) is an exceedingly rare form of spina bifida occulta. Cervical LMMC presenting in adulthood, particularly in the 4th decade, as cervical tethered cord syndrome is extremely uncommon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report the case of a woman in her early 40s who presented with clinical features of cervical compressive myelopathy. Neuroradiological evaluation showed cervical LMMC extending from C3 to C6, along with significant compression and flattening of the spinal cord. The patient underwent C3\u20136 laminectomy and excision of the lipomatous tissue, along with untethering of the cervical spinal cord under intraoperative neuromonitoring (IONM). Histopathological examination confirmed lipomatous tissue. Postoperatively, the patient demonstrated clinical improvement in spasticity and extremity weakness. Follow-up imaging showed satisfactory decompression and expansion of the cervical spinal cord.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Symptomatic cervical LMMC in adults is exceedingly rare. While asymptomatic cases may be managed conservatively with regular surveillance, excision of the lipoma with cord untethering remains the treatment of choice in symptomatic patients. The use of IONM provides an important safeguard during resection, minimizing neurological morbidity.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25771\">https:\/\/thejns.org\/doi\/10.3171\/CASE25771<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25771","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:52:33Z","timestamp":1779288753000},"source":"Crossref","is-referenced-by-count":0,"title":["Symptomatic cervical lipomyelomeningocele in an adult: illustrative case"],"prefix":"10.3171","volume":"11","author":[{"given":"Murali K.","family":"Bethanbhatla","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thirumal","family":"Yerragunta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0115-8913","authenticated-orcid":true,"given":"Satyabrat","family":"Sahoo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramanadha R.","family":"Kanala","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasundhara S.","family":"Rangan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarendra","family":"Pasham","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchanda","family":"Bhattacharjee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"World Neurosurg","first-page":"122","article-title":"Cervical Lipomyelocele with congenital inclusion cyst","volume":"130","author":"Kaur","year":"2019","unstructured":"Kaur MAggarwal ASharma AMalik A.Cervical Lipomyelocele with congenital inclusion cyst. World Neurosurg. 2019;130:122-128. doi:10.1016\/j.wneu.2019.06.179"},{"issue":"5","key":"bib2","series-title":"Pediatr Neurosurg","first-page":"351","article-title":"Cervical spinal dysraphism","volume":"46","author":"K\u0131ymaz","year":"2010","unstructured":"K\u0131ymaz NY\u0131lmaz NG\u00fcd\u00fc BODemir IKozan A.Cervical spinal dysraphism. Pediatr Neurosurg. 2010;46(5):351-356. doi:10.1159\/000323414"},{"issue":"1","key":"bib3","series-title":"Pediatr Neurosurg","first-page":"58","article-title":"Cervical lipomyelomeningocele presenting with progressive motor deficit: a case report and review of the literature","volume":"55","author":"Heidari","year":"2020","unstructured":"Heidari SVMollahoseini RGhandehari HCervical lipomyelomeningocele presenting with progressive motor deficit: a case report and review of the literature. Pediatr Neurosurg. 2020;55(1):58-61. doi:10.1159\/000504059"},{"issue":"6","key":"bib4","series-title":"Neurocirug\u00eda (Astur)","first-page":"505","article-title":"Cervical lipomyelomeningocele: case illustration","volume":"18","author":"G\u00fcrkanlar","year":"2007","unstructured":"G\u00fcrkanlar DGonul M.Cervical lipomyelomeningocele: case illustration. Neurocirug\u00eda (Astur). 2007;18(6):505-507. doi:10.1016\/S1130-1473(07)70259-2"},{"issue":"4","key":"bib5","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Lipomyelomeningocele: pathology, treatment, and outcomes","volume":"33","author":"Sarris","year":"2012","unstructured":"Sarris CETomei KLCarmel PWGandhi CD.Lipomyelomeningocele: pathology, treatment, and outcomes. Neurosurg Focus. 2012;33(4):E3. doi:10.3171\/2012.7.FOCUS12224"},{"issue":"2","key":"bib6","series-title":"Neurosurg Focus","first-page":"E10","article-title":"Spinal lipomas: clinical spectrum, embryology, and treatment","volume":"23","author":"Finn","year":"2007","unstructured":"Finn MAWalker ML.Spinal lipomas: clinical spectrum, embryology, and treatment. Neurosurg Focus. 2007;23(2):E10. doi:10.3171\/FOC-07\/08\/E10"},{"key":"bib7","series-title":"J Clin Neurosci","first-page":"157","article-title":"Adult cervicothoracic lipomyelomeningocele","volume":"32","author":"Abu-Bonsrah","year":"2016","unstructured":"Abu-Bonsrah NPurvis TERory Goodwin CPetteys RJDe La Garza-Ramos RSciubba DM.Adult cervicothoracic lipomyelomeningocele. J Clin Neurosci. 2016;32:157-159. doi:10.1016\/j.jocn.2016.04.005"},{"issue":"1","key":"bib8","series-title":"Surg Neurol Int","first-page":"63","article-title":"Surgical management of lipomyelomeningocele in children: challenges and considerations","volume":"8","author":"Wagner","year":"2017","unstructured":"Wagner KMRaskin JSHansen DReddy GDJea ALam S.Surgical management of lipomyelomeningocele in children: challenges and considerations. Surg Neurol Int. 2017;8(1):63. doi:10.4103\/2152-7806.205268"},{"issue":"3","key":"bib9","series-title":"J Korean Neurosurg Soc","first-page":"346","article-title":"Retethering: a neurosurgical viewpoint","volume":"63","author":"Lee","year":"2020","unstructured":"Lee JYKim KHPark KWang KC.Retethering: a neurosurgical viewpoint. J Korean Neurosurg Soc. 2020;63(3):346-357. doi:10.3340\/jkns.2020.0039"},{"issue":"6","key":"bib10","series-title":"Pediatr Neurosurg","first-page":"399","article-title":"A lateral cervical lipomyelomeningocele associated with diplomyelia","volume":"42","author":"Shieh","year":"2006","unstructured":"Shieh CLam CH.A lateral cervical lipomyelomeningocele associated with diplomyelia. Pediatr Neurosurg. 2006;42(6):399-403. doi:10.1159\/000095574"},{"issue":"3","key":"bib11","series-title":"Childs Nerv Syst","first-page":"931","article-title":"Filum terminale lipomas\u2014the role of intraoperative neuromonitoring","volume":"37","author":"Lalgudi Srinivasan","year":"2021","unstructured":"Lalgudi Srinivasan HValdes-Barrera PAgur AFilum terminale lipomas\u2014the role of intraoperative neuromonitoring. Childs Nerv Syst. 2021;37(3):931-939. doi:10.1007\/s00381-020-04856-4"},{"issue":"1","key":"bib12","series-title":"Chin Neurosurg J","first-page":"33","article-title":"The role of intraoperative neurophysiological monitoring in intramedullary spinal cord tumor surgery","volume":"9","author":"Liu","year":"2023","unstructured":"Liu KMa CLi DThe role of intraoperative neurophysiological monitoring in intramedullary spinal cord tumor surgery. Chin Neurosurg J. 2023;9(1):33. doi:10.1186\/s41016-023-00348-x"},{"key":"bib1","series-title":"World Neurosurg","first-page":"122","article-title":"Cervical Lipomyelocele with congenital inclusion cyst","volume":"130","author":"Kaur","year":"2019","unstructured":"Kaur MAggarwal ASharma AMalik A.Cervical Lipomyelocele with congenital inclusion cyst. World Neurosurg. 2019;130:122-128. doi:10.1016\/j.wneu.2019.06.179"},{"issue":"5","key":"bib2","series-title":"Pediatr Neurosurg","first-page":"351","article-title":"Cervical spinal dysraphism","volume":"46","author":"K\u0131ymaz","year":"2010","unstructured":"K\u0131ymaz NY\u0131lmaz NG\u00fcd\u00fc BODemir IKozan A.Cervical spinal dysraphism. Pediatr Neurosurg. 2010;46(5):351-356. doi:10.1159\/000323414"},{"issue":"1","key":"bib3","series-title":"Pediatr Neurosurg","first-page":"58","article-title":"Cervical lipomyelomeningocele presenting with progressive motor deficit: a case report and review of the literature","volume":"55","author":"Heidari","year":"2020","unstructured":"Heidari SVMollahoseini RGhandehari HCervical lipomyelomeningocele presenting with progressive motor deficit: a case report and review of the literature. Pediatr Neurosurg. 2020;55(1):58-61. doi:10.1159\/000504059"},{"issue":"6","key":"bib4","series-title":"Neurocirug\u00eda (Astur)","first-page":"505","article-title":"Cervical lipomyelomeningocele: case illustration","volume":"18","author":"G\u00fcrkanlar","year":"2007","unstructured":"G\u00fcrkanlar DGonul M.Cervical lipomyelomeningocele: case illustration. Neurocirug\u00eda (Astur). 2007;18(6):505-507. doi:10.1016\/S1130-1473(07)70259-2"},{"issue":"4","key":"bib5","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Lipomyelomeningocele: pathology, treatment, and outcomes","volume":"33","author":"Sarris","year":"2012","unstructured":"Sarris CETomei KLCarmel PWGandhi CD.Lipomyelomeningocele: pathology, treatment, and outcomes. Neurosurg Focus. 2012;33(4):E3. doi:10.3171\/2012.7.FOCUS12224"},{"issue":"2","key":"bib6","series-title":"Neurosurg Focus","first-page":"E10","article-title":"Spinal lipomas: clinical spectrum, embryology, and treatment","volume":"23","author":"Finn","year":"2007","unstructured":"Finn MAWalker ML.Spinal lipomas: clinical spectrum, embryology, and treatment. Neurosurg Focus. 2007;23(2):E10. doi:10.3171\/FOC-07\/08\/E10"},{"key":"bib7","series-title":"J Clin Neurosci","first-page":"157","article-title":"Adult cervicothoracic lipomyelomeningocele","volume":"32","author":"Abu-Bonsrah","year":"2016","unstructured":"Abu-Bonsrah NPurvis TERory Goodwin CPetteys RJDe La Garza-Ramos RSciubba DM.Adult cervicothoracic lipomyelomeningocele. J Clin Neurosci. 2016;32:157-159. doi:10.1016\/j.jocn.2016.04.005"},{"issue":"1","key":"bib8","series-title":"Surg Neurol Int","first-page":"63","article-title":"Surgical management of lipomyelomeningocele in children: challenges and considerations","volume":"8","author":"Wagner","year":"2017","unstructured":"Wagner KMRaskin JSHansen DReddy GDJea ALam S.Surgical management of lipomyelomeningocele in children: challenges and considerations. Surg Neurol Int. 2017;8(1):63. doi:10.4103\/2152-7806.205268"},{"issue":"3","key":"bib9","series-title":"J Korean Neurosurg Soc","first-page":"346","article-title":"Retethering: a neurosurgical viewpoint","volume":"63","author":"Lee","year":"2020","unstructured":"Lee JYKim KHPark KWang KC.Retethering: a neurosurgical viewpoint. J Korean Neurosurg Soc. 2020;63(3):346-357. doi:10.3340\/jkns.2020.0039"},{"issue":"6","key":"bib10","series-title":"Pediatr Neurosurg","first-page":"399","article-title":"A lateral cervical lipomyelomeningocele associated with diplomyelia","volume":"42","author":"Shieh","year":"2006","unstructured":"Shieh CLam CH.A lateral cervical lipomyelomeningocele associated with diplomyelia. Pediatr Neurosurg. 2006;42(6):399-403. doi:10.1159\/000095574"},{"issue":"3","key":"bib11","series-title":"Childs Nerv Syst","first-page":"931","article-title":"Filum terminale lipomas\u2014the role of intraoperative neuromonitoring","volume":"37","author":"Lalgudi Srinivasan","year":"2021","unstructured":"Lalgudi Srinivasan HValdes-Barrera PAgur AFilum terminale lipomas\u2014the role of intraoperative neuromonitoring. Childs Nerv Syst. 2021;37(3):931-939. doi:10.1007\/s00381-020-04856-4"},{"issue":"1","key":"bib12","series-title":"Chin Neurosurg J","first-page":"33","article-title":"The role of intraoperative neurophysiological monitoring in intramedullary spinal cord tumor surgery","volume":"9","author":"Liu","year":"2023","unstructured":"Liu KMa CLi DThe role of intraoperative neurophysiological monitoring in intramedullary spinal cord tumor surgery. Chin Neurosurg J. 2023;9(1):33. doi:10.1186\/s41016-023-00348-x"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/11\/21\/article-CASE25771.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/11\/21\/article-CASE25771.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/11\/21\/article-CASE25771.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:39:49Z","timestamp":1779842389000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/11\/21\/article-CASE25771.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":24,"journal-issue":{"issue":"21"},"URL":"https:\/\/doi.org\/10.3171\/case25771","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,25]]}}}