Lipoma at Conus Medullaris without Spinal Dysraphism causing Neurological Deficit: A Rare Occurrence

It's uncommon to have an intradural lipoma without spinal dysraphism. The majority are asymptomatic, however, neurological impairments might occur. For the past six months, a 35-year-old man had been experiencing growing weakening in both lower limbs. L1 space-occupying lesion was detected during clinical examination and radiological workup. patient underwent surgery address worsening impairment. fully recovered neurologically after six-month follow-up. If damage is progressive, lipomas should be surgically removed. surgical treatment produces positive results.