An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

Search Article
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Advertise Subscribe Contacts Login  Facebook Tweeter
  Users Online: 109 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
 
CASE REPORT
Ahead of Print

Thoracic intramedullary lipoma in a 3-year-old child: Spontaneous decrease in the size following incomplete resection


1 Department of Neurosurgery, Faculty of Medicine, Ankara Practice and Research Center, Baskent University, Ankara, Turkey
2 Department of Neurosurgery, Medical Park Hospital, Bursa, Turkey

Correspondence Address:
Fatih Aydemir,
Department of Neurosurgery, Medical Park Hospital, Haşim İşcan Caddesi Fomara Meydanı No: 1 Osmangazi/Bursa
Turkey
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Nondysraphic intramedullary spinal cord lipomas are even rarer. We present a thoracic intramedullary lipoma which spontaneously decreased in size following surgical debulking. A 3-year-old girl was admitted to our department with complaints of back pain since 1 year and progressive difficulty in walking since 6 months. Her magnetic resonance imaging (MRI) revealed T8-9 intramedullary mass showing increased signal intensity in both T1- and T2-weighted images. The patient was operated with a T8-9 laminoplasty and debulking, and internal decompression of the tumor was made. Histologically, the tumor was uniformly composed of mature adipose tissue revealing a lipoma. First-month control MRI revealed the rest mass almost the half volume of the preoperative mass. The 2 nd year MRI revealed the size of the lipoma was spontaneously decreased to almost half of postoperative size and 3 rd year was the same as the 2 nd year with a mild kyphosis. Decompression and debulking with or without duraplasty is the most appropriate treatment for symptomatic patients. Dietary measures with control of fat intake and long-term follow-up are also suggested.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Yilmaz C
    -  Aydemir F
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed760    
    PDF Downloaded16    

Recommend this journal