The diagnosis is at last by magnetic resonance imaging, an MRI of the lumbosacral region it will allow diagnosing and defining the type of lipoma and also treatment options. When these lipomas produce symptoms, it is easy to detect a weakness of the lower limbs, an orthopedic alteration or the presence of these cutaneous stigmas, which together will lead doctors to the diagnosis. Lumps are usually observed in the lumbar region, subcutaneous lipomas, deviations of the gluteal fold for instance, and at times cutaneous stigmas in the form of a vascular spot, an angioma, dimple, or areas of hypertrichosis, of increased localized pilosity. The diagnosis of lumbar lipoma is usually simple. Finally, when the lipoma has been symptomatic for a long time, it can lead to deformities of the spine, such as scoliosis. When the symptoms appear earlier in the pediatric age they can range from a weakness in the lower limbs, with a more or less marked paresis of the extremities, usually of the feet orthopedic deformities, that is, deformities in the shape of the feet, which do not cease to be a sample of that muscular weakness that can occur due to the spinal anchorage, or even alterations in the control of the sphincters.Ĭommonly, the most symptomatic lipomas, that is, caudal or transitional lipomas, can produce weakness in the lower limbs, weakness that is usually progressive, it can produce alterations in the control of the sphincters that is, a neurogenic bladder, the ability to control urine, or may cause alterations in form, for example, of constipation. It is a pain with mechanical characteristics and it presents when the patient is sitting or doing any trunk flexion or extension. For instance, an adult or adolescents patients the most common symptom is low back pain.
Actually, any symptom that affects the spinal cord and its coverings is possible when we are talking about a lipoma.
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