Spinal Intramedullary Lipoma: a Case Report in SakonNakhon Hospital : รายงานผู้ป่วย: ก้อนเนื้องอกไขมันเส้นประสาทไขสันหลัง (Spinal Intramedullary Lipoma) โรงพยาบาลสกลนคร

Abstract

          This study aimed to report the case of spinal intramedullary lipoma which is a rare case and accounts for 1% of all spinal masses and 2% of intramedullary tumors. The patient is female aged 11 years old. She was admitted with scruff pain symptoms for the past one month. She had acute weakness in both arms and legs and sign of spasms and senseless from the thoracic spine 1 (T1) to lower spine. There was no spinal dysraphism. The MRI showed intradural intramedullary lipoma extending from cervical spine 6 to thoracic spine 10. The laminectomy was performed to remove the patient’s lipomas. The pathology report of mass biopsy was consistent with MRI. After 1 month of follow-up, the patient had muscle strength improvement, no sign of spasms and normal urinary system and excretion.

          Keywords : Lipoma, Spinal intramedullary lesion, Spinal dysraphism