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How to treat lipoma of filum terminale in a new born?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 3-day-old infant is having a small bump in her lower back. Our doctor said it is a lipoma filum terminale through an ultrasound investigation and advised surgery as a treatment plan. Now she needs an MRI scan to confirm whether that lump is linked to the spinal cord, but as we do not have any doctor specialized in child MRI and cannot use sleep medicine to make her sleep, there is a high risk of oxygen drop. I want to know if that surgery is necessary for the early stage of her life? Will it affect her spinal cord if I wait for a few months to do MRI? She is very fine now, her legs and everything is working fine.

I want to know the risk factors if I delay the MRI and surgery.

Kindly help.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Lipoma is a benign tumor of the fat tissue. It usually grows slowly, and it is not very invasive. So, I think that we can wait for a couple of months to perform an MRI, as the baby is tiny, and this procedure may impose breathing complications as it needs sedation.

In the meantime, I recommend you follow up with an ultrasound every month to monitor the dimensions of the lesion for possible growth and progression.

I hope you will find this answer helpful.

I remain at your disposal for any further questions whenever you need me.

Kind regards.

Medically reviewed by Dr. Chithranjali Ravichandran
Published At August 7, 2021
Reviewed At July 16, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Chithranjali is a passionate and skilled Dentist specializing in preventive care, restorative treatments, cosmetic dentistry, and oral health education. She excels in managing dental conditions with precision and compassion, ensuring patient comfort and positive outcomes. Committed to promoting long-term oral wellness, Dr. Chithranjali combines advanced dental techniques with personalized care, empowering patients to maintain healthy smiles and achieve optimal overall dental health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

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