Management for lipomyelomeningioma can either be conservative or surgical. Conservative management is mainly supportive, with periodic checks to assess for progression or development of symptoms. It has been suggested that individuals who are asymptomatic should not receive surgical interventions due to risk of worsening of clinical condition. For individuals who are asymptomatic, it is possible to receive surgical intervention. There are two main surgical approaches. The first and more traditional is to partially remove the lipoma, carefully remove interfering tissue surrounding the spinal cord, then repairing the area by duraplasty. A second method that is less common and newer is to remove vertebral bones in an osteotomy in the attempt to reduce tension on the spinal cord. Surgical management and the preferred procedures vary by institution. In general, the more tension and rotation there is of the spine, the more likely it is for the individual to be symptomatic and require surgery. However, as the severity of the lipoma increases, so too does the risk for adverse events from the surgery or for the procedure to not relieve symptoms. Even with surgical treatment of lipomyelomenigngioma, it is possible that there will be no clear improvement in the individuals' condition. It has been shown that there is improvement only around ten precent of the time, while there majority of the time there is no change.
Lipomeningomyelocele
Sialocele
Lateral meningocele syndrome
Encephalocele
Choroid plexus cyst
Diastematomyelia
Choroid plexus tumor
Sacrococcygeal teratoma