Abstract
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 mid-thoracic 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.
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Mark L et al. Intramedullary spinal cord lipomas. J Neurosurg 1995; 82: 394–400.
Knepper P A, McLone D G . Development of spinal cord. In: Park TS, (ed). Spinal dysraphism-Contemporary issues in neurological surgery. 1992; Blackwell Scientific Publications, Boston. pp 1–18.
Mclone D G, Naidich T P . Spinal dysraphism Lipomeningocoele and lipoma of the filum terminale. In: Tachdijan MO, (ed). Pediatric Orthopedics, 1990; 3rd edition. W B Saunders, Philadelphia. 1871-1880.
Thomas J E, Miller R H . Lipomatous tumours of the spinal canal-A study of their clinical range. Mayo Clin Proc 1973; 48: 393–400.
Giuffre R . Intradural spinal lipoma: review of the literature (99 cases) and report of an additional case. Acta Neurochir 1966; 14: 69–95.
McCormick P C, Stein M B . Intramedullary tumors in the adults. Neurosurg Clin North Am 1990; 1: 609–630.
Dyck P . Intramedullary lipoma. Diagnosis and treatment. Spine 1992; 17: 979–981.
Ehni G . Intraspinal and intracranial lipomas (Thesis) Rochester. Minn: Graduate School of Univ of Minnesota, 1943.
Fessier R G et al. Epidural lipomatosis in steroid-treated patients. Spine 1992; 17: 183–188.
Morano J V, Miller J D, Connors J J . MR imaging of spinal epidural lipoma. Am J Neuroradiol 1989: 10: 102.
Healey M E et al. Demonstration of magnetic resonance of symptomatic spinal epidural lipomatosis. Neurosurgery, 1987; 21: 414–415.
Weidemayer H et al. Spinal cord compression by extensive epidural lipoma. Eur Neurol 1987; 27: 46–50.
Haid R W . Epidural lipomatosis simulating an epidural abscess. Neurosurgery 1987; 21: 744–747.
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Meisheri, Y., Mehta, S. & Chattopadhyay, K. Acute paraplegia due to an extradural spinal lipoma: Case report. Spinal Cord 34, 633–634 (1996). https://doi.org/10.1038/sc.1996.114
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DOI: https://doi.org/10.1038/sc.1996.114
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