Intramedullary lipoma without spinal dysraphism in an adult: A case report& review of literature
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 4
Abstract
spinal cord lipomas are rare benign tumours171015 and mainly of 2 types Those usually associated with the syndrome of spinal dysraphism1622 where these lesions communicate with subcutaneous lipomas through a defect in the posterior elements of the spine such as spina bifida lipomyelomeningocele myelomeningocele diastematomyelia cutaneous lipoma fistula pilosity klippelFeil malformation and those without spinal dysraphism7Spinal cord lipomas which are not associated with spinal dysraphism are even less frequent accounting for 1 of spinal cord tumours11523 60 are localized intradurally 40 extradurally59Here we present a case of a 22 years male patient came to our hospital with ho upper back pain non radiating type localized to thoracic spine and his examination showed normal gait with mild spasticity in left lower limb with no sensory or motor deficits Rhombergs sign was mildly positive Bilaterally reflexes were equal and normal with left Babinski sign presentMRI whole spine with plain and contrast showed T1 and T2 hyperintense lesion in dorsal spine extending from D4D9 intradural intramedullary lesion suggestive of lipoma with no evidence of spinal dysraphismPatient was subjected for surgical excision and postoperatively patient recovered well with smptom free intervals Keywords Intramedullary lipomas Spinal cord lipomas Spinal dyraphism MRI spine
Authors and Affiliations
Ravi Ichalakaranji, Rajesh Shenoy
Keywords
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- EP ID EP490493
- DOI 10.18231/2455-8451.2018.0050
- Views 108
- Downloads 0
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