Cervico‐Thoracic Lipoma Associated with Occult Syringohydromyelia

Abstract

Cutaneous lesions in the midline may be hallmarks of an occult spinal dysraphism. They rarely may occur in the cervical and thoracic regions. We report a 9-year-old girl with a cervico-thoracic lipoma associated with an underlying syringohydromyelia. Early detection of potentially complicated conditions can prevent the occurrence of irreversible neurologic damage.

Spinal Dysraphism Presenting as a Translucent Papule in a Man

“…Common manifestations include lipomas, acrochordons, true tails, pseudotails, dimples, dermoid cysts or sinuses, localized hypertrichosis, and vascular abnormalities. These associated lesions most frequently arise in the lumbosacral region but also rarely occur at the cervical or thoracic levels . The concurrence of skin and spinal defects is likely owing to their shared embryologic origin whereby the ectoderm gives rise to both the epithelial and neural ectoderm …”

“…These associated lesions most frequently arise in the lumbosacral region but also rarely occur at the cervical or thoracic levels. 4 The concurrence of skin and spinal defects is likely owing to their shared embryologic origin whereby the ectoderm gives rise to both the epithelial and neural ectoderm. 1,2,5 With suspicion for spinal dysraphism, radiologic images should be obtained to rule out neural tissue involvement prior to performing skin biopsies.…”

Posterior Mediastinal, Intraspinal, Intradural, Intramedullary Lipoma through a Kovalevsky Canal in the Thoracic Spine

“…It has been mentioned in conjunction with the neurenteric cyst. [ 3 ] We described herein a rare posterior mediastinal lipoma with extension to the spinal canal, subdural space, and spinal cord through a Kovalevsky canal. There was no evidence of spinal dysraphism in this case according to the physical examination and MRI and CT images.…”