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颈胸段脊髓硬膜内脂肪瘤伴颅内延伸

Intradural lipoma of the cervicothoracic spinal cord with intracranial extension.

作者信息

Sanli Ahmet Metin, Türkoğlu Erhan, Kahveci Ramazan, Sekerci Zeki

机构信息

Department of 1st Neurosurgery, Dişkapi Yildirim Beyazit Research and Education Hospital, Ankara, 06110, Turkey.

出版信息

Childs Nerv Syst. 2010 Jun;26(6):847-52. doi: 10.1007/s00381-009-1077-2. Epub 2010 Jan 23.

DOI:10.1007/s00381-009-1077-2
PMID:20098993
Abstract

INTRODUCTION

Intradural spinal lipoma is rare and seen about 1% of all tumors of the spinal cord. Lipomas of the cervical location with intracranial extension are extremely rare and are described as intramedullary or subpial location.

CASE

A 12-year-old female with lipoma of the cervicothoracic spinal cord demonstrated progressive quadriparesis. The patient underwent surgery with decompression of the affected craniocervical location.

DISCUSSION

In the reported case, we describe a rare intradural lipoma of the cervicothoracic spinal cord with posterior fossa extension in the child, and the relevant English medical literature is reviewed.

摘要

引言

硬脊膜内脊髓脂肪瘤罕见,约占所有脊髓肿瘤的1%。具有颅内延伸的颈部脂肪瘤极为罕见,被描述为髓内或软膜下位置。

病例

一名12岁患有颈胸段脊髓脂肪瘤的女性表现出进行性四肢瘫痪。该患者接受了手术,对受影响的颅颈部位进行减压。

讨论

在本报告病例中,我们描述了一名儿童罕见的颈胸段脊髓硬脊膜内脂肪瘤并伴有后颅窝延伸情况,并对相关英文医学文献进行了综述。

相似文献

1
Intradural lipoma of the cervicothoracic spinal cord with intracranial extension.颈胸段脊髓硬膜内脂肪瘤伴颅内延伸
Childs Nerv Syst. 2010 Jun;26(6):847-52. doi: 10.1007/s00381-009-1077-2. Epub 2010 Jan 23.
2
Intradural cervical lipomas with intracranial extension: a management strategy based on a case report and review of the literature.伴有颅内延伸的硬膜内颈段脂肪瘤:基于一例病例报告及文献复习的治疗策略
Br J Neurosurg. 2004 Aug;18(4):385-8. doi: 10.1080/02688690400005180.
3
Cervicobulbar intramedullary lipoma.颈延髓髓内脂肪瘤
Spine J. 2009 Mar;9(3):e12-6. doi: 10.1016/j.spinee.2008.03.012. Epub 2008 Jul 10.
4
Intramedullary lipoma of dorsocervicothoracic spinal cord with intracranial extension and hydrocephalus.伴颅内延伸及脑积水的颈胸段脊髓髓内脂肪瘤
Pediatr Neurosurg. 1998 May;28(5):257-60. doi: 10.1159/000028661.
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Isolated spinal cord lipoma.孤立性脊髓脂肪瘤。
J Clin Neurosci. 2003 Nov;10(6):692-4. doi: 10.1016/j.jocn.2003.01.001.
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Spinal cord lipoma without dysraphism in the infancy that extends intracranially. Case report and review of the literature.婴儿期无脊柱裂的脊髓脂肪瘤并向颅内延伸。病例报告及文献复习。
Surg Neurol. 2009 May;71(5):613-5. doi: 10.1016/j.surneu.2007.10.036. Epub 2008 Mar 4.
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A massive cervicomedullary intramedullary spinal cord lipoma.巨大型颈髓髓内脊髓脂肪瘤。
J Clin Neurosci. 2008 Jul;15(7):817-20. doi: 10.1016/j.jocn.2006.07.018. Epub 2008 Apr 24.
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Intramedullary lipoma of the cervicodorsal spinal cord with intracranial extension: case report.颈胸段脊髓髓内脂肪瘤伴颅内延伸:病例报告
Surg Neurol. 2006 May;65(5):486-9. doi: 10.1016/j.surneu.2005.09.035.
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Non-dysraphic intramedullary lipoma of the craniocervical region in an adult: Case report.成人颅颈区非脊髓分裂性髓内脂肪瘤:病例报告
Neurocirugia (Astur : Engl Ed). 2019 Sep-Oct;30(5):250-253. doi: 10.1016/j.neucir.2018.09.003. Epub 2018 Nov 16.
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Non Dysraphic Intramedullary Spinal Cord Lipoma.非脊髓纵裂性脊髓内脂肪瘤
Neurol India. 2022 Sep-Oct;70(Supplement):S302-S305. doi: 10.4103/0028-3886.360941.

引用本文的文献

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Craniovertebral lipoma associated with hydrocephalus: report of two cases.伴有脑积水的颅颈脂肪瘤:两例报告
Childs Nerv Syst. 2025 Apr 29;41(1):173. doi: 10.1007/s00381-025-06806-4.
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Pathogenesis of spinal intramedullary lipomas: two case reports.脊髓髓内脂肪瘤的发病机制:两例报告。
J Med Case Rep. 2023 Jul 25;17(1):317. doi: 10.1186/s13256-023-04048-z.
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A Rare Case of Intramedullary Lipoma of Brainstem to Thoracic Cord--What to Do?一例罕见的脑干至胸段脊髓髓内脂肪瘤——该如何处理?

本文引用的文献

1
A massive cervicomedullary intramedullary spinal cord lipoma.巨大型颈髓髓内脊髓脂肪瘤。
J Clin Neurosci. 2008 Jul;15(7):817-20. doi: 10.1016/j.jocn.2006.07.018. Epub 2008 Apr 24.
2
Spinal cord lipoma without dysraphism in the infancy that extends intracranially. Case report and review of the literature.婴儿期无脊柱裂的脊髓脂肪瘤并向颅内延伸。病例报告及文献复习。
Surg Neurol. 2009 May;71(5):613-5. doi: 10.1016/j.surneu.2007.10.036. Epub 2008 Mar 4.
3
Concomitant cervical and lumbar intradural intramedullary lipoma.同时存在的颈段和腰段硬脊膜内髓内脂肪瘤。
J Pediatr Neurosci. 2020 Apr-Jun;15(2):145-149. doi: 10.4103/jpn.JPN_134_19. Epub 2020 Jun 27.
4
Intramedullary Spinal Cord Lipoma Mimicking a Late Subacute Hematoma.酷似晚期亚急性血肿的脊髓内脂肪瘤
Asian J Neurosurg. 2018 Oct-Dec;13(4):1282-1284. doi: 10.4103/ajns.AJNS_112_18.
Surg Neurol. 2008 Mar;69(3):314-7. doi: 10.1016/j.surneu.2007.01.062. Epub 2007 Sep 4.
4
Intramedullary lipoma of the cervicodorsal spinal cord with intracranial extension: case report.颈胸段脊髓髓内脂肪瘤伴颅内延伸:病例报告
Surg Neurol. 2006 May;65(5):486-9. doi: 10.1016/j.surneu.2005.09.035.
5
Intradural cervical lipomas with intracranial extension: a management strategy based on a case report and review of the literature.伴有颅内延伸的硬膜内颈段脂肪瘤:基于一例病例报告及文献复习的治疗策略
Br J Neurosurg. 2004 Aug;18(4):385-8. doi: 10.1080/02688690400005180.
6
Isolated spinal cord lipoma.孤立性脊髓脂肪瘤。
J Clin Neurosci. 2003 Nov;10(6):692-4. doi: 10.1016/j.jocn.2003.01.001.
7
Intradural lipomas of the spinal cord; with particular emphasis on the intramedullary lipomas.脊髓硬膜内脂肪瘤;特别强调髓内脂肪瘤。
J Neurosurg. 1957 Jan;14(1):28-42. doi: 10.3171/jns.1957.14.1.0028.
8
An infant with an intradural lipoma of the cervical spine extending into the posterior fossa.一名患有颈椎硬膜内脂肪瘤且延伸至后颅窝的婴儿。
J Clin Neurosci. 2003 Jan;10(1):127-30. doi: 10.1016/s0967-5868(02)00277-1.
9
Thoracic intradural extramedullary lipomas. Report of three cases and review of the literature.胸椎硬膜内髓外脂肪瘤。三例报告并文献复习。
Acta Neurochir (Wien). 2001 Aug;143(8):767-73; discussion 773-4. doi: 10.1007/s007010170030.
10
Intramedullary lipoma of dorsocervicothoracic spinal cord with intracranial extension and hydrocephalus.伴颅内延伸及脑积水的颈胸段脊髓髓内脂肪瘤
Pediatr Neurosurg. 1998 May;28(5):257-60. doi: 10.1159/000028661.