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Cervicobulbar intramedullary lipoma.
Spine J. 2009 Mar; 9(3):e12-6.SJ

Abstract

BACKGROUND CONTEXT

Spinal lipomas not associated with spinal dysraphism are rare entities. Further, large medullary lipomas with intracranial extension are occasionally described. Most of the intradural lipomas are subpial and not really intramedullary.

PURPOSE

Clinicians may be made aware of such a rare entity and its presentation.

STUDY DESIGN/SETTING

An extremely rare case of medullary lipoma extending into posterior fossa is described in an adult, not associated with spinal dysraphism.

METHODS

A young male presented with high cord myelopathy in the form of spastic quadriparesis. Radiological investigations revealed dorsally placed intramedullary lipoma extending into posterior fossa.

RESULTS

Surgical excision of tumor provided satisfactory resolution of symptoms.

CONCLUSIONS

Medullary lipomas may present with features of high cord compression and myelopathy. Magnetic resonance imaging remains the investigative and follow-up modality of choice. Even when total tumor excision is not feasible, subtotal removal and decompression provides long lasting symptom-free survival.

Authors+Show Affiliations

Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. sandeepmohindra@gmail.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18619912

Citation

Mohindra, Sandeep, and Sunil Kumar Gupta. "Cervicobulbar Intramedullary Lipoma." The Spine Journal : Official Journal of the North American Spine Society, vol. 9, no. 3, 2009, pp. e12-6.
Mohindra S, Gupta SK. Cervicobulbar intramedullary lipoma. Spine J. 2009;9(3):e12-6.
Mohindra, S., & Gupta, S. K. (2009). Cervicobulbar intramedullary lipoma. The Spine Journal : Official Journal of the North American Spine Society, 9(3), e12-6. https://doi.org/10.1016/j.spinee.2008.03.012
Mohindra S, Gupta SK. Cervicobulbar Intramedullary Lipoma. Spine J. 2009;9(3):e12-6. PubMed PMID: 18619912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervicobulbar intramedullary lipoma. AU - Mohindra,Sandeep, AU - Gupta,Sunil Kumar, Y1 - 2008/07/10/ PY - 2007/12/14/received PY - 2008/02/12/revised PY - 2008/03/11/accepted PY - 2008/7/16/pubmed PY - 2009/5/1/medline PY - 2008/7/16/entrez SP - e12 EP - 6 JF - The spine journal : official journal of the North American Spine Society JO - Spine J VL - 9 IS - 3 N2 - BACKGROUND CONTEXT: Spinal lipomas not associated with spinal dysraphism are rare entities. Further, large medullary lipomas with intracranial extension are occasionally described. Most of the intradural lipomas are subpial and not really intramedullary. PURPOSE: Clinicians may be made aware of such a rare entity and its presentation. STUDY DESIGN/SETTING: An extremely rare case of medullary lipoma extending into posterior fossa is described in an adult, not associated with spinal dysraphism. METHODS: A young male presented with high cord myelopathy in the form of spastic quadriparesis. Radiological investigations revealed dorsally placed intramedullary lipoma extending into posterior fossa. RESULTS: Surgical excision of tumor provided satisfactory resolution of symptoms. CONCLUSIONS: Medullary lipomas may present with features of high cord compression and myelopathy. Magnetic resonance imaging remains the investigative and follow-up modality of choice. Even when total tumor excision is not feasible, subtotal removal and decompression provides long lasting symptom-free survival. SN - 1878-1632 UR - https://www.unboundmedicine.com/medline/citation/18619912/Cervicobulbar_intramedullary_lipoma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1529-9430(08)00093-4 DB - PRIME DP - Unbound Medicine ER -