Fan C J, Veerapen R J, Tan C T
Department of Radiology, University Hospital, Kuala Lumpur, Malaysia.
Clin Radiol. 1989 Jan;40(1):91-4. doi: 10.1016/s0009-9260(89)80047-9.
A case is described of subdural spinal lipoma with posterior fossa extension and the world literature is reviewed. A high proportion of high cervical lipomas extend into the posterior cranial fossa. Many cases were probably missed in the pre-computed tomography era. Those cases with posterior fossa growth are more likely to be found in infants or those cases with symptoms dating from birth; most present with quadriparesis. All cases of high cervical lipoma demonstrated by myelography should be submitted to brain computed tomography in order to exclude posterior fossa extension and demonstrate the presence of hydrocephalus.
本文描述了一例伴有后颅窝扩展的硬脊膜下脊髓脂肪瘤，并对世界文献进行了综述。高颈段脂肪瘤很大一部分会延伸至后颅窝。在计算机断层扫描时代之前，许多病例可能被漏诊。那些伴有后颅窝生长的病例更常见于婴儿或出生时就有症状的患者；大多数表现为四肢瘫痪。所有经脊髓造影显示的高颈段脂肪瘤病例都应进行脑部计算机断层扫描，以排除后颅窝扩展并显示脑积水的存在。
