A massive cervicomedullary intramedullary spinal cord lipoma.
We present a large cervicomedullary intramedullary lipoma in a 17-year-old boy, who presented with spastic quadriparesis and exaggerated reflexes. MRI revealed an intramedullary lipoma extending from the craniovertebral junction to the sixth cervical vertebra. There was no spinal dysraphism. Subtotal excision with primary dural closure was performed, which produced an improvement in the patient's condition. The technique we used is discussed.
Chagla
Aadil S
AS
Department of Neurosurgery, KEM Hospital and Seth G.S. Medical College, Mumbai, Maharashtra 400012, India.
Balasubramaniam
Srikant
S
Goel
Atul H
AH
D000293:Adolescent; D020295:Brain Stem Neoplasms / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008067:Lipoma / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D009128:Muscle Spasticity / Q000209:etiology; D019635:Neurosurgical Procedures / Q000379:methods; D019106:Postoperative Hemorrhage / Q000517:prevention & control / Q000601:surgery; D011782:Quadriplegia / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome