[A Dumbbell-Type Thoracic Spinal Lipoma: A Case Report].
No Shinkei Geka
; 44(6): 495-9, 2016 Jun.
Article
in Ja
| MEDLINE
| ID: mdl-27270148
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Neoplasms
/
Lipoma
Limits:
Humans
/
Male
/
Middle aged
Language:
Ja
Journal:
No Shinkei Geka
Year:
2016
Document type:
Article
Publication country:
JAPAN
/
JAPON
/
JAPÃO
/
JP