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Albert Tu, Alexander R. Hengel and D. Douglas Cochrane

group. Conclusions It is possible to relate different patterns of clinical deterioration with MRI findings in patients with lumbosacral lipoma. Patients who deteriorated early in life were found to have large lipomas that filled the spinal canal, large expanding syrinxes, and displacement of neurological structures. In comparison, dorsal spinal cord herniation appears to be associated with delayed or no deterioration. These findings can be used to guide the timing of interventions and the diligence of clinical and urodynamic follow-up. Patients with features

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Takahiro Makino, Shota Takenaka, Gensuke Okamura, Yusuke Sakai, Hideki Yoshikawa and Takashi Kaito

herniation have been reported. 6 , 14 Here, we report an unusual case of dorsal spinal cord herniation at the thoracolumbar junction presenting with scalloping of ossification of the ligamentum flavum (OLF). Consent was obtained from the patient after she was informed that data concerning the case would be presented for publication. Ethical approval from the ethics committee of our institution was obtained (no. 11360-3). Case Report History A 75-year-old woman with a 2-year history of bilateral leg dysesthesia presented with progressive gait ataxia. She had undergone