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Unusual presentation of a giant thoracic spinal cord lipoma

Unusual presentation of a giant thoracic spinal cord lipoma IntroductionNon-dysraphic intradural spinal cord lipomas are rare, and true intramedullary cervical-thoracic lipomas are extremely rare. Spinal lipomas usually present with chronic, progressive myelopathic features. Unlike dysraphic lipomas, which are usually located in the lumbo-sacral region, non-dysraphic lipomas are usually located in the cervical or thoracic spine.Case presentationWe present an unusual case of a 21-year-old female who presented with four months of severe back pain, progressive spasticity, and weakness in the lower limbs. Magnetic resonance imaging (MRI) revealed a T1- and T2-hyperintense lesion between D4 and D6.DiscussionThis fatty intramedullary lesion had undergone evolution and a possible hemorrhagic infarct and cord compression. The patient underwent an urgent dorsal laminoplasty and total resection of this lesion, which histopathology indicated was a fibrous lipoma. Total resection is possible in such cases if a micro-surgical technique that includes neurophysiological monitoring is used. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Spinal Cord Series and Cases Springer Journals

Unusual presentation of a giant thoracic spinal cord lipoma

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References (20)

Publisher
Springer Journals
Copyright
Copyright © The Author(s), under exclusive licence to International Spinal Cord Society 2022
eISSN
2058-6124
DOI
10.1038/s41394-022-00489-8
Publisher site
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Abstract

IntroductionNon-dysraphic intradural spinal cord lipomas are rare, and true intramedullary cervical-thoracic lipomas are extremely rare. Spinal lipomas usually present with chronic, progressive myelopathic features. Unlike dysraphic lipomas, which are usually located in the lumbo-sacral region, non-dysraphic lipomas are usually located in the cervical or thoracic spine.Case presentationWe present an unusual case of a 21-year-old female who presented with four months of severe back pain, progressive spasticity, and weakness in the lower limbs. Magnetic resonance imaging (MRI) revealed a T1- and T2-hyperintense lesion between D4 and D6.DiscussionThis fatty intramedullary lesion had undergone evolution and a possible hemorrhagic infarct and cord compression. The patient underwent an urgent dorsal laminoplasty and total resection of this lesion, which histopathology indicated was a fibrous lipoma. Total resection is possible in such cases if a micro-surgical technique that includes neurophysiological monitoring is used.

Journal

Spinal Cord Series and Cases – Springer Journals

Published: Mar 28, 2022

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