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[Intramedullary lipoma: about a case].

Soukaina Wakrim1, Najwa Touil1, Ousmane Traore1

  • 1Service de Radiologie des Urgences CHU Ibn Rochd Casablanca, Maroc.

The Pan African Medical Journal
|August 27, 2019
PubMed
Summary
This summary is machine-generated.

Intramedullary lipomas, rare bone tumors, can cause neurological issues. Early MRI diagnosis is crucial for timely surgical intervention and preventing permanent damage.

Keywords:
Intramedullary lipomanon dysraphic intramedullarynuclear magnetic resonance imaging

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Area of Science:

  • Neurology
  • Oncology
  • Radiology

Background:

  • Intramedullary lipomas are rare, benign bone marrow tumors, comprising about 1% of such lesions.
  • This case involves a non-dysraphic intramedullary lipoma, a subtype with specific diagnostic considerations.

Observation:

  • A 46-year-old female presented with worsening back pain, sensory deficits, gait disturbance, and muscle weakness.
  • Previous surgical biopsy for medullary lipoma was noted, but prior radiological reports were unavailable.

Findings:

  • Medullary Magnetic Resonance Imaging (MRI) revealed a well-defined mass in the conus terminalis.
  • The lesion measured 8cm x 2.5cm and exhibited hypersignal intensity on both T1 and T2 weighted images.

Implications:

  • Magnetic Resonance Imaging (MRI) is the definitive diagnostic tool for intramedullary lipomas.
  • Early diagnosis via MRI facilitates prompt surgical management, averting irreversible neurological complications.