Spinal intramedullary lipoma without dysraphism.

*Associate Professor, **Resident, Department of Medicine, ***Associate Professor, Department of Neurosurgery, ****Head of Department of Medicine, Sassoon General Hospital, Pune Received: 25.10.2012; Revised: 06.12.2012; Accepted: 27.12.2012 5 year old female , a housewife , presented with gradually progressing paraparesis since 2 yrs. There were no sensory or bowel and bladder symptoms. Tone was increased in bilateral lower limbs There was exaggerated triceps, knee and ankle jerk . Ankle c lonus was present bilaterally. Plantars were bilateral extensor. She had spastic gait. Magnetic resonance imaging showed a hyperintense lesion on T1 weighted study l ikely Intramedullary l ipoma with large exophytic component lying in posterior thecal sac extending from C4 to C7 measuring 6.5 x 1.1 x 2.0 cm (Figures 1 and 2). Decompressive laminectomy from C4 to C7 was done (Figure 3). The tumour bulged out on opening the dura. A biopsy was taken. Dural sutures were placed Spinal Intramedullary Lipoma without Dysraphism