Acute paraplegia due to an extradural spinal lipoma: case report.
We describe a 20 year old man, who presented with an acute onset of transverse myelopathy evolving over 24 h at T6 spinal level; as yet, an unreported presenting symptom from a midthoracic intraspinal lipoma. The C.S.F. findings suggested a spinal block. MRI, imaging was not practical. Urgent myelography revealed extradural compression at the T5-6 vertebral level. The patient underwent surgical debulking of the tumor which on histopathology was found to be a lipoma, but there was no neurological improvement even at 3 months follow up. We believe that patients with intraspinal lipomas are at high risk of developing irreversible neurological dysfunction.
Department of Medicine, GS Medical College, Bombay, Maharashtra, India.
Y V
YV
Meisheri
S
S
Mehta
K
K
Chattopadhyay
D000208:Acute Disease; D000328:Adult; D004388:Dura Mater / Q000473:pathology / Q000601:surgery; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008297:Male; D009192:Myelography; D010264:Paraplegia / Q000209:etiology* / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery