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Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review.
World Neurosurg. 2018 02; 110:162-168.WN

Abstract

BACKGROUND

Spinal lipomas are generally thought to occur as a result of failed primary neurulation. Failed primary neurulation allows invasion of mesenchymal tissue of mesodermic origin into the neural structure, leading to the formation of a spinal lipoma. Despite most spinal lipomas being regarded as the result of failed primary neurulation, some confusion in terms of the embryogenesis of spinal lipomas remains. Recently, a novel classification of spinal lipomas based on embryonic changes seen during primary and secondary neurulation was has been proposed.

CASE DESCRIPTION

We present a case of an intradural-extramedullary spinal cord lipoma, associated with a subjacent subcutaneous lipoma at the cervicothoracic region. The patient presented with worsening neurologic symptoms, indicating ongoing cervical myelopathy. A subtotal resection along with posterior cervical stabilization was achieved, with mild improvement of neurologic symptoms. Clinical, pathologic, and radiologic records are reviewed.

CONCLUSIONS

To the best of our knowledge, this is the first described case of a spinal cord lipoma with at such a location, one that cannot be fully categorized within the newly proposed classification system.

Authors+Show Affiliations

Department of Neurosurgical Department, Aglaia Kyriakou Pediatric Hospital of Athens, Athens, Attica, Greece. Electronic address: dimpanayop@gmail.com.Department of Neurosurgical Department, Aglaia Kyriakou Pediatric Hospital of Athens, Athens, Attica, Greece.Department of Neurosurgical Department, Aglaia Kyriakou Pediatric Hospital of Athens, Athens, Attica, Greece.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

29155065

Citation

Panagopoulos, Dimitrios, et al. "Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review." World Neurosurgery, vol. 110, 2018, pp. 162-168.
Panagopoulos D, Markogiannakis G, Koutzoglou M. Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review. World Neurosurg. 2018;110:162-168.
Panagopoulos, D., Markogiannakis, G., & Koutzoglou, M. (2018). Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review. World Neurosurgery, 110, 162-168. https://doi.org/10.1016/j.wneu.2017.11.029
Panagopoulos D, Markogiannakis G, Koutzoglou M. Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review. World Neurosurg. 2018;110:162-168. PubMed PMID: 29155065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intradural-Extramedullary Cervical Cord Lipoma: Case Report and Literature Review. AU - Panagopoulos,Dimitrios, AU - Markogiannakis,Georgios, AU - Koutzoglou,Michael, Y1 - 2017/11/14/ PY - 2017/09/06/received PY - 2017/11/02/revised PY - 2017/11/04/accepted PY - 2017/11/21/pubmed PY - 2018/5/16/medline PY - 2017/11/21/entrez KW - Embryological lipoma classification KW - Failed primary neurulation KW - Intradural–extramedullary cervical lipoma SP - 162 EP - 168 JF - World neurosurgery JO - World Neurosurg VL - 110 N2 - BACKGROUND: Spinal lipomas are generally thought to occur as a result of failed primary neurulation. Failed primary neurulation allows invasion of mesenchymal tissue of mesodermic origin into the neural structure, leading to the formation of a spinal lipoma. Despite most spinal lipomas being regarded as the result of failed primary neurulation, some confusion in terms of the embryogenesis of spinal lipomas remains. Recently, a novel classification of spinal lipomas based on embryonic changes seen during primary and secondary neurulation was has been proposed. CASE DESCRIPTION: We present a case of an intradural-extramedullary spinal cord lipoma, associated with a subjacent subcutaneous lipoma at the cervicothoracic region. The patient presented with worsening neurologic symptoms, indicating ongoing cervical myelopathy. A subtotal resection along with posterior cervical stabilization was achieved, with mild improvement of neurologic symptoms. Clinical, pathologic, and radiologic records are reviewed. CONCLUSIONS: To the best of our knowledge, this is the first described case of a spinal cord lipoma with at such a location, one that cannot be fully categorized within the newly proposed classification system. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/29155065/Intradural_Extramedullary_Cervical_Cord_Lipoma:_Case_Report_and_Literature_Review_ DB - PRIME DP - Unbound Medicine ER -