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Intradural cervical lipoma with parenchymal marginal fibrous tissue: case report
1Department of Neurosurgery, Osaka University Medical School, Suita, Osaka 565-0871, Japan. kiwatsuki@nsurg.med.osaka-u.ac.jp
Objective:
The author reports an intradural cervical subpial lipoma with parenchymal marginal fibrous tissue causing neurological deterioration.
Methods:
Computed tomographic and magnetic resonance imaging scans revealed the lesion. Magnetic resonance imaging fat suppression was an especially useful tool for diagnosis.
Results:
The gross appearance and microscopic findings implied that this tumor had a progressive character. A subtotal resection was carried out and pathological studies confirmed the diagnosis.
Conclusion:
Postoperatively, the patient made an excellent recovery.
Insights
A rare intradural cervical subpial lipoma causing neurological decline was identified. Advanced imaging and surgical resection led to an excellent patient recovery.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Intradural cervical subpial lipomas are rare tumors.
- These lesions can cause significant neurological deterioration.
Observation:
- A case of an intradural cervical subpial lipoma with marginal fibrous tissue is presented.
- The lesion caused progressive neurological deficits.
Findings:
- Computed tomography and magnetic resonance imaging, particularly with fat suppression, were crucial for diagnosis.
- Pathological studies confirmed the progressive nature of the tumor.
Implications:
- Early and accurate diagnosis is key for effective treatment.
- Surgical intervention can lead to excellent patient outcomes for this rare condition.