title: Cervicothoracic intradural spinal lipoma without dyraphism diagnosed postpartum.
abstract: BACKGROUND
  Intradural spinal lipoma without evidence of dysraphism is a rare occurrence comprising approximately 1% of all spinal tumors.
  
  
  METHODS
  An 18-year-old female who, following her primary cesarean section, began developing progressively worsening lower extremity weakness, paresthesias, spasticity, and hyperreflexia. Magnetic resonance imaging diagnosed a cervicothoracic intradural spinal lipoma. She underwent an osteoplastic laminotomy with subtotal resection of intradural lipoma with an excellent prognosis.
  
  
  CONCLUSIONS
  This case highlights the need for broad differential diagnoses if symptoms do not correlate with the typical postpartum recovery. Our patient's case is the first to describe symptoms developing postpartum with excellent prognosis because of rapid evaluation and diagnosis.
authors.affiliation: Department of Obstetrics and Gynecology, San Antonio Uniformed Services Health Education Consortium, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Teneyuque
authors.affiliation: Division of Maternal Fetal Medicine, San Antonio Uniformed Services Health Education Consortium, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: Kathy B
authors.initials: KB
authors.lastname: Porter
authors.affiliation: Department of Anesthesia, San Antonio Uniformed Services Health Education Consortium, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234.
authors.forename: Thomas
authors.initials: T
authors.lastname: Pennington
mesh_terms: D000293:Adolescent; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis / Q000601:surgery*; D049590:Postpartum Period; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016135:Spinal Dysraphism; D013904:Thoracic Vertebrae