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Unusual presentation of a giant thoracic spinal cord lipoma.


ABSTRACT:

Introduction

Non-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 presentation

We 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.

Discussion

This 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.

SUBMITTER: Ben Ali H 

PROVIDER: S-EPMC8960759 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Unusual presentation of a giant thoracic spinal cord lipoma.

Ben Ali Haitham H   Batarfi Laila L   Aldraihem Moneera O MO   Bashir Shahid S  

Spinal cord series and cases 20220328 1


<h4>Introduction</h4>Non-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.<h4>Case presentation</h4>We present an unusual case of a 21-year-old female who presented with four months of severe b  ...[more]

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