A case of histologically confirmed spinal lipoma without associated spinal dysraphism is presented. This tumor appeared lobulated, extending through an enlarged neuroforamen to form a so-called dumbbell tumor. In a review of the literature, there were found to be only four case reports of a dumbbell spinal lipoma. Our case was unique in that it manifested as a neck mass without neurological deficits. The fatty nature of the tumor allowed easy detection by computed tomography (CT), as well as by magnetic resonance (MR) imaging. MR is judged to be superior to CT for preoperative planning by virtue of its superb intraspinal resolution and multiplanar capability, and should be the procedure of choice for evaluating spinal lipomas.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/BF02015800 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Neurosurgical strategy based on the type of occult spinal dysraphism in omphalocele-exstrophy-imperforate anus-spinal defects complex: A review of 10 cases.
Surg Neurol Int
December 2024
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Iizuka, Japan.
Background: Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is a rare, life-threatening congenital malformation primarily treated with abdominogenital repair. The optimal indication and timing of neurosurgical interventions for the associated spinal cord lesions remains insufficiently studied. We reviewed spinal dysraphism in OEIS to evaluate the best timing for neurosurgical intervention.
View Article and Find Full Text PDFNeurophysiological identification and differentiation between the motor and sensory roots in pediatric spinal cord lipoma surgery.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
Background: Radical resection of spinal cord lipomas reduces the rate of re-tethering. Current conventional neurophysiological mapping techniques are not able to differentiate between crucial motor nerve roots and sensory roots. Enhanced differentiation could contribute to complete resection.
View Article and Find Full Text PDFSacral spinal canal lipoma induced tethered lower cord syndrome: A case report.
Radiol Case Rep
January 2025
Radiology Department, University Hospital Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco.
Tethered cord syndrome is a rare form of spinal dysraphism. We present the case of a 24-year-old female patient who was admitted with chronic urinary symptoms, including dysuria and pollakiuria, which had persisted since puberty, along with lower back pain (lumbago). Due to the progression and increased severity of the lumbago, a lumbar MRI was performed.
View Article and Find Full Text PDFIntraoperative neuromonitoring and mapping during spinal cord untethering surgery; a single-centre paediatric neurosurgery unit experience.
Childs Nerv Syst
November 2024
Department of Neurosurgery, Birmingham Women and Children's NHS Foundation Trust, Birmingham, UK.
Purpose: A review of intraoperative neuromonitoring (IONM) and mapping (IONMa) utility during paediatric tethered cord surgery with particular attention to feasibility, measures to prevent injury, and postoperative outcome.
Methods: A retrospective analysis of spinal cord untethering surgery between 2015 and 2022 was carried out. Cohort demographics, IONM and IONMa data, and procedural details were summarised and associations between variables explored.
Updated classification with spinal dysraphism and treatment outcomes of arteriovenous shunts below conus: a retrospective cohort study.
J Neurointerv Surg
November 2024
Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, China
Background: Arteriovenous shunts below conus medullaris (AVS-BC) are understudied, particularly those associated with spinal dysraphism. This study aimed to refine the classification and management of AVS-BC.
Methods: A retrospective analysis of patients with AVS-BC from two centers over two decades was performed, focusing on clinical presentations, angioarchitecture, and treatment outcomes.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!