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[Cervical intra-spinal cord lipoma in a 14-month-old girl]
Anales Espanoles De Pediatria
|September 1, 1985
Insights
A rare pediatric intramedullary lipoma in the cervical spine caused significant spinal canal widening and vertebral abnormalities. Despite surgical intervention, the infant succumbed to respiratory complications.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Medical Imaging
Background:
- Intramedullary lipomas are rare, benign tumors originating from adipose tissue within the spinal cord.
- Cervical intramedullary lipomas in infants present unique diagnostic and management challenges.
Observation:
- A 14-month-old female infant presented with symptoms since birth.
- Spine X-rays revealed marked spinal canal widening and incomplete vertebral arch closure in the cervical region.
- Myelography confirmed an intramedullary tumor in the cervical spine.
Findings:
- The patient was diagnosed with a cervical intramedullary lipoma.
- Surgical debulking of the tumor was performed.
- The infant experienced respiratory complications post-surgery.
Implications:
- This case highlights the aggressive potential and diagnostic difficulties of pediatric cervical intramedullary lipomas.
- Early diagnosis and comprehensive management are crucial for improving outcomes in such rare pediatric spinal tumors.
- Respiratory compromise is a significant risk factor in infants with extensive cervical spinal cord lesions.
Abstract:
A 14 months old girl with intramedullary lipoma in cervical region is presented. She started illness from newborn age. Spine X-rays showed a great widening of to spinal chanal and incomplete closure of vertebral archs in the cervical region. Myelography presented images of intramedullary tumor. She died with respiratory complications a month later of partially removing the tumor.