|
#1
●
08-15-2011, 02:48 PM
|
|
Spinal Dermoid and Deformity of the Foot
A-36-year-old woman presented for evaluation of gradually progressive equinovarus deformity of the left foot and scoliosis. She first noticed that her left foot was turning inwards about a year ago but at that time did not seek medical attention. There was no history of trauma to the back and she denied any back or leg pain. Neurological examination revealed an equinovarus deformity of left foot and a slightly broad based gait. MRI lumbosacral spine revealed a large dermoid tumor in the spinal canal situated at the thoracolumbar junction. X-ray of the lumbar spine revealed scoliosis. Surgical excision of the tumor was deferred taking into account the absence of pain or difficulty walking and the possibility of bladder incontinence post surgery. As of this writing she remains in close follow up. |