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Catalog
2018 AANS Annual Scientific Meeting
Lipomyelomeningocele: How I do It_2
Lipomyelomeningocele: How I do It_2
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Video Transcription
Video Summary
In this video, Sandy Lam discusses the controversies surrounding the surgical treatment of spinal cord lipomas. Lam mentions that there are different camps of thought on whether to perform surgery or opt for conservative management in asymptomatic patients. She presents different studies and their findings, highlighting the potential for neurologic decline and the risk of developing symptoms over time. Lam mentions the surgical techniques used to treat lipomas, including total or near-total resection of the fat and radical reconstruction of the neuroplacode. She discusses the complications associated with surgery and emphasizes the importance of close follow-up regardless of the chosen treatment strategy. Lam also mentions a study in which parents were involved in the decision-making process regarding treatment options for their asymptomatic children. She concludes by stating the need for further research and better understanding of the best approach to managing lipomas.
Asset Caption
Sandi K. Lam, MD, FAANS
Keywords
Sandy Lam
controversies
spinal cord lipomas
surgical treatment
conservative management
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