201. [A Dumbbell-Type Thoracic Spinal Lipoma: A Case Report].
- Author
-
Takamiya S, Hida K, Yano S, Sasamori T, Seki T, and Saito H
- Subjects
- Humans, Magnetic Resonance Imaging, Male, Middle Aged, Multimodal Imaging, Neurosurgical Procedures, Tomography, X-Ray Computed, Lipoma surgery, Spinal Neoplasms pathology, Spinal Neoplasms surgery
- Abstract
Spinal lipomas are rare, accounting for less than 1% of all spinal tumors. Most are associated with spinal dysraphism. Spinal lipomas without spinal dysraphism are uncommon;they are typically subpial tumors. Some tumors are located both inside and outside the dura mater (so-called "dumbbell-type"). Herein, we report a patient with a dumbbell-type thoracic spinal lipoma. A man in his 50's complained of progressive gait disturbance, dysesthesia in his left leg, and hyperesthesia in his right leg. His symptoms were worsened by exercise. CT and MRI revealed a thoracic spinal lipoma extending from the spinal cord to the intervertebral foramen at the Th 6-8 level. He underwent partial tumor removal and untethering. Postoperatively he reported gradual symptom abatement. Dumbbell-type spinal lipomas are very rare. Besides partial removal of the tumor, untethering should be considered when symptoms are associated with tethering of the spinal cord.
- Published
- 2016
- Full Text
- View/download PDF