Concomitant cervical and lumbar intradural intramedullary lipoma.
BACKGROUND
Lipomas of the spinal cord are often a component of spinal dysraphic states. Nondysraphic intramedullary spinal cord lipomas are rare, and concomitant isolated cervical and lumbar intradural intramedullary lipomata are very rare. One patient with concomitant isolated nondysraphic cervical and lumbar spinal cord lipomata has been reported and management options discussed.


METHODS
A young girl presented with insidious-onset diffuse neck pain and early myelopathic signs. Conventional radiographs were normal. Magnetic resonance imaging of the whole neuraxis revealed concomitant cervical and lumbar intradural intramedullary lipoma. Subtotal resection of the lesion was performed at both levels, after which the patient improved symptomatically and was ambulant independently.


CONCLUSIONS
Concomitant intradural lipomas at 2 different locations unassociated with a dysraphic state is very rare. Magnetic resonance imaging with fat suppression study is the investigation of choice. Adequate decompression with subtotal removal is the treatment of choice.
Muthusubramanian
Vikram
V
Post Graduate Institute of Neurological Surgery, Dr Achanta Lakshmipathi Neurosurgical Centre, VHS Hospital, Chennai 600113, India. m.vikram@mailcity.com
Pande
Anil
A
Vasudevan
Madhabushi Chakravarthy
MC
Ramamurthi
Ravi
R
D000293:Adolescent; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D009333:Neck; D011859:Radiography; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery