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Surgical treatment of spinal lipoma without spina bifida at lumbar region-three case reports-.
- Source :
-
Neurologia medico-chirurgica [Neurol Med Chir (Tokyo)] 2009 Dec; Vol. 49 (12), pp. 616-8. - Publication Year :
- 2009
-
Abstract
- Three men aged 40 to 60 years presented with rare lumbar spinal intradural lipomas without spina bifida manifesting as worsening numbness, pain of the lower extremities, and bladder dysfunction. All 3 patients underwent decompressive laminectomy. The lipoma and cauda equina nerves were dissected from the dura mater under the operating microscope, untethering the spinal cord and returning the cauda equina nerves to the original position. Duralplasty was performed using an expanded polytetrafluoroethylene sheet. Postoperatively, all patients experienced improvement of their neurological deficits. In the surgical treatment of spinal lipomas, the primary purpose is untethering and decompression, which can be achieved by untethering the spinal cord, returning the cauda equina nerves to the normal position, laminectomy, and duralplasty, without removal of the lipoma.
- Subjects :
- Adult
Arachnoid pathology
Arachnoid surgery
Cauda Equina pathology
Cauda Equina surgery
Decompression, Surgical methods
Dura Mater pathology
Dura Mater surgery
Humans
Laminectomy methods
Lipoma complications
Lumbar Vertebrae pathology
Lumbar Vertebrae surgery
Magnetic Resonance Imaging
Male
Middle Aged
Neurosurgical Procedures methods
Polyradiculopathy etiology
Polyradiculopathy pathology
Polyradiculopathy surgery
Postoperative Complications
Prosthesis Implantation methods
Plastic Surgery Procedures
Spinal Canal pathology
Spinal Canal surgery
Spinal Cord pathology
Spinal Cord surgery
Spinal Cord Compression etiology
Spinal Neoplasms complications
Treatment Outcome
Lipoma pathology
Lipoma surgery
Spinal Cord Compression pathology
Spinal Cord Compression surgery
Spinal Neoplasms pathology
Spinal Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1349-8029
- Volume :
- 49
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Neurologia medico-chirurgica
- Publication Type :
- Academic Journal
- Accession number :
- 20035141
- Full Text :
- https://doi.org/10.2176/nmc.49.616