Lipomyelomeningiomas typically present with skin and neurological abnormalities. Examples of skin manifestations are subcutaneous lipomas, capillary hemangiomas, complex dimples, and abnormal hair growth on the body, typically the lower back. Serious skin findings are more rare than these other more typical findings. There are also a number of musculoskeletal findings. They all result from the effects of the lipoma on the spine. Abnormal curvature of the spine, scoliosis, and deformities of the spine and legs distal to the lipoma are common. Due to the proximity of the lipomas to the nerves regulating continence, both stool and urinary incontinence are common. Neurological symptoms such as weakness, abnormalities of sensation, and pain can be common but may manifest later on in an individual’s life. Commonly, individuals who are not diagnosed with lipomyelomeningioma can be asymptomatic. When the person grows, there is added stress on the spine, especially If there is a rotational aspect to the lipoma, causing the person to begin having symptoms later on. Lipomyelomeningiomas are associated with a number of other disorders * Chiari malformation type 1 * Spina bifida * Split cord malformations * Associated dermal sinuses * Dermoid or epidermoid cysts * Diastematomyelia * Terminal hydromyelia * Down Syndrome
Lipomeningomyelocele
Sialocele
Lateral meningocele syndrome
Encephalocele
Choroid plexus cyst
Diastematomyelia
Choroid plexus tumor
Sacrococcygeal teratoma