Nondysraphic intradural spinal lipoma

Singh, Avninder; Gupta, Vikas; Singh, Hukum; Chand, Karam

doi:10.4103/1817-1745.49116

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…They were located in cervical region and intradural extramedullary compartment. This is in accordance with the study of Sevick et al 11 who found that PNET were common in young age, located in cervical region and intradural extramedullary compartment. Immunohistochemical examination was performed on 1 case.…”

Section: Spinal Level Locationsupporting

confidence: 93%

Clinico Pathological Study of Parenchymal Lesions of Spinal Cord

Binayke

Sisodia

Joshi

2018

APALM

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Background: Spinal parenchymal lesions are rare with a wide spectrum of clinical and histological presentation.The aims and objectives was to study the incidence and histopathological features of parenchymal lesions of spinal cord in relation to age,sex,clinical features, radiological findings and topographical distribution. Methods: We studied spinal lesions over a period of ten years in a tertiary care hospital. Our study comprised a total number of 241 surgical resection specimens of lesion of spinal cord out of which 73 cases of spinal cord parenchymal lesions were found. Primary vertebral tumors and paraspinal soft tissue lesions were excluded. Descriptive cross-sectional study of cases including detailed clinical data of age, sex, duration of disease, type of lesion, and radiological findings of the patients was obtained. All cases were analyzed by examining Hematoxylin and Eosin stained slides with use of special stains and immunohistochemistry, as needed. Results: Male predominance was seen in spinal cord parenchymal lesions and 3rd and 4th decade age group was most commonly affected. These lesions were more common in thoracic region followed by cervical region .Neoplastic lesion of spinal cord parenchyma are more frequently encountered than nonneoplastic lesions. Astrocytomas (24.63 %) were commonest neoplastic spinal cord lesions with preponderance of low grade astrocytoma. Ependymomas and PNET accounted for 20.53 % and 4.10 % respectively Conclusion: The histopathological diagnosis of spinal parenchymal lesions can be extremely challenging, the difficulty exaggerated by small size of the specimen. In such situation a multidisciplinary approach including neurosurgeons, neuroradiologist and neuropathologist is highly recommended.

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Section: Spinal Level Locationsupporting

confidence: 93%

Clinico Pathological Study of Parenchymal Lesions of Spinal Cord

Binayke

Sisodia

Joshi

2018

APALM

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“…75 % of lipomas were seen in lumbosacral region and equally distributed in intradural and as well as extradural compartment. Traul et al, [6] Singh et al, [14] and Ruberti et al, [5] observed younger age, lumbosacral region predominance and equal gender incidence for lipomas. Figure 3a].…”

Section: Resultsmentioning

confidence: 99%

The Clinicopathological Spectrum of Lesions of Spinal Meninges

Binayke¹,

Sisodia²,

Joshi³

2018

AIMDR

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Introduction: The spinal meningeal lesions are a distinct and interesting group of lesions with a wide spectrum of clinical and histological presentation. The aim of our study was to analyse the clinic-radiological spectrum of spinal meningeal lesions with histopathological correlation. Methods: Our study comprised of 88 cases of spinal meningeal lesions over a consecutive 10 years period in tertiary care hospital. Descriptive cross-sectional study of cases including detailed clinical data of age, sex, duration of disease, type of lesion, and radiological findings of the patients was obtained. The analysis of all the cases was done by examining Hematoxylin and Eosin stained slides with use of special stains and immunohistochemistry, if needed. Results: Male predominance was seen in spinal meningeal lesions with M: F ratio of 1.2:1 with 3rd and 4th decade age group was most commonly affected. These lesions were common in thoracic region followed by lumbar region .Neoplastic lesions of spinal meninges were more frequently encountered than non-neoplastic lesions. Meningioma (37.50 %) was the most common spinal meningeal tumor followed by lipoma (18.18 %). Psammomatous meningioma (45.45 %) was the most commonly observed histological type of meningioma. Epidermoid and dermoid cysts (23.92 %) were the most common cystic (non-neoplastic) meningeal lesions. Conclusion: Considering the rarity of spinal meningeal lesions, a multidisciplinary approach with the combination of clinical, radiological, and histopathological features forms the basis of its diagnostic approach.

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“…[ 4 5 6 7 8 ] Intradural intramedullary spinal cord lipomas are more often associated with dysraphism. [ 2 9 10 11 12 ] The most common location of intradural lipomas is the dorsal part of the cervical or thoracic spine. [ 10 13 ]…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7][8] Intradural intramedullary spinal cord lipomas are more often associated with dysraphism. [2,[9][10][11][12] The most common location of intradural lipomas is the dorsal part of the cervical or thoracic spine. [10,13] There are several theories on the development of intramedullary lipomas.…”

Section: Introductionmentioning

confidence: 99%

Intramedullary spinal cord lipoma mimicking a late subacute hematoma

et al. 2018

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Spinal cord lipomas are rare and benign tumors which may cause progressive neurological deficits due to their local expansion. We present the case of a 59-year-old male patient with severe lumbosacral pain and slowly progressive paresis of the right leg, misdiagnosed with degenerative spine disease. Repeated magnetic resonance (MR) T1-weighted images of the thoracic spine suggested a subacute intramedullary hematoma. Due to progression of the neurological deficit, the patient was referred to a neurosurgeon, who indicated surgical evacuation of the hematoma. The intraoperative finding revealed an intramedullary spinal cord lipoma, which was later confirmed by histological analysis. Since subacute intramedullary hematomas and intramedullary spinal cord lipomas present with similar clinical and radiological features, diffusion-weighted MR imaging should be used to distinguish these entities.

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Nondysraphic intradural spinal lipoma

Cited by 9 publications

References 6 publications

Clinico Pathological Study of Parenchymal Lesions of Spinal Cord

Clinico Pathological Study of Parenchymal Lesions of Spinal Cord

The Clinicopathological Spectrum of Lesions of Spinal Meninges

Intramedullary spinal cord lipoma mimicking a late subacute hematoma

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