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Dorsal epidural spinal lipomatosis
S Chibbaro1, G Mirone, M Nouri
1Department of Neurosurgery, Hôpital Lariboisière, Paris, France. schibbaro@hotmail.com
BMJ Case Reports
|June 19, 2012
Summary
A rare thoracic epidural spinal lipomatosis caused severe neurological deficits in a patient. Surgical removal of the fibrolipoma resulted in complete recovery and well-being.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Thoracic epidural spinal lipomatosis is a rare condition.
- These lesions typically present with back pain but can cause neurological deficits.
Observation:
- A 56-year-old woman presented with acute, severe paraparesis due to an intraspinal mass.
- Cervical and thoracic MRI revealed the mass, leading to surgical intervention.
Findings:
- Surgical excision of the mass, identified as a fibrolipoma, was performed.
- Pathological analysis confirmed the diagnosis of fibrolipoma.
Implications:
- Complete neurological recovery was achieved post-surgery.
- This case highlights the importance of imaging in diagnosing and managing spinal lipomas causing neurological dysfunction.
