Intradural-Extramedullary Cervical Wire Lipoma: Case Report and Literature Overview.
World Neurosurg. 2018 02;110:162-168
Authors: Panagopoulos D, Markogiannakis G, Koutzoglou M
BACKGROUND: Spinal lipomas are usually thought to happen because of failed main neurulation. Failed main neurulation permits invasion of mesenchymal tissue of mesodermic origin into the neural construction, resulting in the formation of a spinal lipoma. Regardless of most spinal lipomas being thought to be the results of failed main neurulation, some confusion by way of the embryogenesis of spinal lipomas stays. Lately, a novel classification of spinal lipomas primarily based on embryonic adjustments seen throughout main and secondary neurulation was has been proposed.
CASE DESCRIPTION: We current a case of an intradural-extramedullary spinal wire lipoma, related to a subjacent subcutaneous lipoma on the cervicothoracic area. The affected person offered with worsening neurologic signs, indicating ongoing cervical myelopathy. A subtotal resection together with posterior cervical stabilization was achieved, with gentle enchancment of neurologic signs. Scientific, pathologic, and radiologic information are reviewed.
CONCLUSIONS: To the perfect of our information, that is the primary described case of a spinal wire lipoma with at such a location, one that can’t be totally categorized inside the newly proposed classification system.
PMID: 29155065 [PubMed – indexed for MEDLINE]