title: Cervicobulbar intramedullary lipoma.
abstract: BACKGROUND
  Spinal lipomas not associated with spinal dysraphism are rare entities. Further, large medullary lipomas with intracranial extension are occasionally described. Most of the intradural lipomas are subpial and not really intramedullary.
  
  
  OBJECTIVE
  Clinicians may be made aware of such a rare entity and its presentation.
  
  
  METHODS
  An extremely rare case of medullary lipoma extending into posterior fossa is described in an adult, not associated with spinal dysraphism.
  
  
  METHODS
  A young male presented with high cord myelopathy in the form of spastic quadriparesis. Radiological investigations revealed dorsally placed intramedullary lipoma extending into posterior fossa.
  
  
  RESULTS
  Surgical excision of tumor provided satisfactory resolution of symptoms.
  
  
  CONCLUSIONS
  Medullary lipomas may present with features of high cord compression and myelopathy. Magnetic resonance imaging remains the investigative and follow-up modality of choice. Even when total tumor excision is not feasible, subtotal removal and decompression provides long lasting symptom-free survival.
authors.affiliation: Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. sandeepmohindra@gmail.com
authors.forename: Sandeep
authors.initials: S
authors.lastname: Mohindra
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Gupta
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae; D006801:Humans; D008067:Lipoma / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000601:surgery