CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2016; 05(01): 028-030
DOI: 10.1055/s-0036-1572378
Case Report

Dorsal Intramedullary Lipoma without Spinal Dysraphism: A Rare Case Report and Review of Literature

Basanta Kumar Baishya
1   Department of Neurosurgery, Gauhati Medical College, Guwahati, Assam, India
,
Deep Dutta
1   Department of Neurosurgery, Gauhati Medical College, Guwahati, Assam, India
,
Sushant Agarwal
2   Department of Radiology, Gauhati Medical College, Guwahati, Assam, India
,
Zakir Hussain
1   Department of Neurosurgery, Gauhati Medical College, Guwahati, Assam, India
› Author Affiliations

Abstract

Study Design Case report.

Objective The study aims to report a rare case of dorsal intramedullary lipoma, its management, and outcome.

Background We are reporting the rare case of a 23-year-old man with dorsal intramedullary lipoma without spinal dysraphism. The clinical presentation, diagnosis, and management are discussed with relevant review of literature.

Conclusion Intramedullary cord lipoma without spinal dysraphism can be a cause of myelopathy, and proper diagnosis with MRI and subtotal excision preserving the vital cord parenchyma should be the goal, which can give a better outcome.



Publication History

Received: 22 September 2015

Accepted: 18 November 2015

Publication Date:
24 February 2016 (online)

© 2016. Thieme. All rights reserved.

Neurological Surgeons' Society of India

 
  • References

  • 1 Fujiwara F, Tamaki N, Nagashima T, Nakamura M. Intradural spinal lipomas not associated with spinal dysraphism: a report of four cases. Neurosurgery 1995; 37 (06) 1212-1215
  • 2 Srinivasan US, Raghunathan N, Radhi L. Long term outcome of non-dysraphic intramedullary spinal cord lipomas in adults: case series and review. Asian Spine J 2014; 8 (04) 476-483
  • 3 Lee M, Rezai AR, Abbott R, Coelho DH, Epstein FJ. Intramedullary spinal cord lipomas. J Neurosurg 1995; 82 (03) 394-400
  • 4 Fleming KL, Davidson L, Gonzalez-Gomez I, McComb JG. Nondysraphic pediatric intramedullary spinal cord lipomas: report of 5 cases. J Neurosurg Pediatr 2010; 5 (02) 172-178
  • 5 Kasliwal MK, Mahapatra AK. Surgery for spinal cord lipomas. Indian J Pediatr 2007; 74 (04) 357-362
  • 6 Mohindra S, Gupta SK. Cervicobulbar intramedullary lipoma. Spine J 2009; 9 (03) e12-e16
  • 7 Roka YB, Shrestha M, Puri PR, Adhikari HB. High cervical nondysraphic intradural extramedullary lipoma. Neurol India 2012; 60 (03) 350-351
  • 8 Bhatoe HS, Singh P, Chaturvedi A, Sahai K, Dutta V, Sahoo PK. Nondysraphic intramedullary spinal cord lipomas: a review. Neurosurg Focus 2005; 18 (02) ECP1-ECP5
  • 9 Pruthi N, Devi BI. Nondysraphic cervical and thoracic intraspinal lipomas: a review. Br J Neurosurg 2010; 24 (03) 228-232