Intramedullary Lipoma of Dorsocervicothoracic Spinal Cord with Intracranial Extension and Hydrocephalus

Abstract

An intradural, intramedullary lipoma originating within the cervicothoracic cord with significant extension into the posterior fossa is reported. The lipoma was found incidentally by CT scan at the infant’s age of 2 days. Follow-up studies by CT and MRI were performed on several occasions. Because of hydrocephalus, VP shunting was performed. After shunting and shunt revisions, surgery of lipoma was performed at the age of 2 years. Posterior fossa craniectomy and laminectomy from C1 to T4 revealed a lipoma, which was maximally reduced. Six months after surgery, the child was well and showed good recovery.

Isolated spinal cord lipoma

“…The common intradural location is subpial. 5 Spinal cord lipomas seem to have a peak presentation between 10 and 40 years, with a slight male preponderance. The usual presentation is of a long indolent history, followed by a dramatic worsening over months.…”

Cervical Hematomyelia: A Rare Entity in a Neonate with Cesarean Section and Surgical Recovery

“…Brachial plexus injury can be combined with spinal cord injury and differential diagnosis only by neurologic exam may be impossible in newborns, thus requiring further electrophysiological and radiological evaluation [21]. Congenital intraspinal tumors with cervical location are extremely rare and may be confidently detected by MRI [30, 31, 32]. Spinal dysraphism is usually easily recognized [21].…”

Intramedullary lipoma of the cervico-thoracic spinal cord

“…Intradural spinal lipomas of the cervical and thoracic region are very uncommon (5). The majority of intradural spinal lipomas reported in the literature were subpial and true intramedullary lipomas are uncommon (1). In this case report, we present a patient who has an intramedullary lipoma of the cervico-thoracic spinal cord in the absence of any spinal anomaly.…”

“…Spinal intradural lipomas are histologically benign tumours of the spinal cord and account for less than 1% of all spinal cord tumours (1). Most of these tumours are found in the lumbosacral region as components of a spinal dysraphic state (2)(3)(4).…”