Neurological Surgery 脳神経外科50巻6号

2022年11月発行

特集 小児脳神経外科—エキスパートはこうしている Ⅲ二分脊椎症

終糸脂肪腫

著者： 吉藤和久¹

所属機関： ¹北海道立子ども総合医療・療育センター小児脳神経外科

ページ範囲：P.1203 - P.1211

Point
・脊髄終糸の脂肪腫（異所性脂肪組織）はMRI上しばしば認められるが，多くは無症候で低位脊髄円錐を呈さず，病的意義はない．
・症候性例が手術適応であることに異論はなく，無症候で低位脊髄円錐を示す例への予防的手術の適応は意見が分かれている．
・手術リスクは比較的小さいが，神経生理学的手技のもと確実に行うことが大切である．

参考文献

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