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Updated: Aug 9, 2026
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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Non-dysraphic intramedullary spinal cord lipoma
Nazeer Ahmed Qureshi1, Maqsood Akram, Abdul Ghaffar
1Department of Neurosurgical Centre, Combined Military Hospital, Rawalpindi.
Summary
True intramedullary spinal cord lipomas are rare tumors. This study presents two cases, detailing their symptoms and surgical outcomes, highlighting potential neurological improvement after subtotal tumor removal.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- True intramedullary spinal cord lipomas are exceptionally rare tumors.
- These lesions are distinct from other spinal cord tumors and lipomatous malformations.
- Understanding their presentation and behavior is crucial for effective management.
Observation:
- Two patients with true intramedullary spinal cord lipomas were identified.
- Neither patient presented with signs of spinal dysraphism.
- Clinical manifestations included gait difficulty, upper limb weakness, sphincter disturbances, dysesthesias, and neck pain.
Findings:
- Surgical intervention involved subtotal tumor removal in both cases.
- One patient experienced a postoperative improvement in neurological grade.
- The rarity and specific clinical course underscore the complexity of these tumors.
Implications:
- This case series contributes to the limited literature on true intramedullary spinal cord lipomas.
- It highlights the diverse neurological deficits that can arise from these rare tumors.
- Further research is needed to optimize surgical strategies and predict outcomes for intramedullary lipomas.
