Cervical intramedullary spinal cord lipoma
نویسندگان
چکیده
Background Intramedullary, nondysraphic, spinal cord lipomas are rare and account for less than 1% of all spinal cord lesions. Symptoms typically consist of a progressive myelopathy associated with increasing degrees of paralysis (e.g., quadriparesis/plegia, paraparesis/plegia). Case Description A 39-year-old male, without a history of spinal dysraphism, presented with a progressive spastic quadriparesis. This was attributed to magnetic resonance-documented large intramedullary cervical lipoma. Following partial intramedullary surgical debulking of the lesion, the patient neurologically improved. Conclusion Partial debulking of a cervical intramedullary lipoma in a patient who originally presented with a severe quadriparesis resulted in significant neurological improvement. Notably, utilization of intraoperative ultrasonography, CO2 laser, and both motor evoked and somatosensory evoked potentials can be helpful during the removal of such lipomas.
منابع مشابه
Spinal Intramedullary Lipoma: A Rare Cause of Rapidly Progressive
Spinal intramedullary lipoma is a rare lesion accounting for 1% of all spinal masses and 2% of intramedullary tumours [1]. These lesions are commonly associated with spinal dysraphism [2]. The usual location of spinal lipoma is in the cervico-thoracic region [3]. Spinal intramedullary lipomas without spinal dysraphism are very rare and present in only 1% of patients [1,2]. Though CO2 laser and ...
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