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CASE REPORT
Year : 2018  |  Volume : 13  |  Issue : 4  |  Page : 1282-1284

Intramedullary spinal cord lipoma mimicking a late subacute hematoma


1 Department of Neurosurgery, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
2 Department of Neuropathology, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia

Correspondence Address:
Dr. Ivan Pasalic
Department of Neurosurgery, University Hospital Center Zagreb, Kispaticeva 12, 10000, Zagreb
Croatia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_112_18

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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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