2018 AANS Annual Scientific Meeting-Lipomyelomeningocele: How I do It

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