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Figure 1: Preoperative lumbosacral imaging. (A) Sagittal section of MR imaging showing first dorsal lipoma seen attached to the larger right hemicord. (B) Sagittal section of MR imaging showing second dorsal lipoma seen attached to the smaller paramedian left hemicord. (C) Axial section of lumbar MR imaging showing split cord malformation without any bony septum and a dorsal lipoma. (D) 3D reconstruction of the CT lumbosacral spine showing spina bifida involving the L1 to S5 vertebra. No bony spur seen

Figure 1: Preoperative lumbosacral imaging. (A) Sagittal section of MR imaging showing first dorsal lipoma seen attached to the larger right hemicord. (B) Sagittal section of MR imaging showing second dorsal lipoma seen attached to the smaller paramedian left hemicord. (C) Axial section of lumbar MR imaging showing split cord malformation without any bony septum and a dorsal lipoma. (D) 3D reconstruction of the CT lumbosacral spine showing spina bifida involving the L1 to S5 vertebra. No bony spur seen