NHÂN MỘT TRƯỜNG HỢP U MỠ TUỶ LỚN VÙNG CỔ PHẪU THUẬT TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Background: Most of the spinal cord lipomas reported in the literature are intradural extramedullary, and true intramedullary lipomas are very rare. We present a case of intramedullary spinal cord lipoma of the cervical region with extensions over many spinal segments. Magnetic resonance (MR) examination showed an intramedullary lipoma of the cervical spinal cord of both high T1 and T2-weighted signal intensity and suppression on fat saturation sequence. MR imaging assessment is critical in the detection of intramedullary lipomas which may present without any neurological deficit at an early stage. Early diagnosis may lead to prevention of the irreversible deterioration of neurological functions. Case description: A 29-year-old male, without a history of spinal dysraphism, presented with a progressive spastic quadriparesis. This was attributed to magnetic resonance documented large intramedullary cervical lipoma. Following partial intramedullary surgical debulking of the lesion, the patient neurologically improved.