颈段脊髓髓内脂肪瘤
Cervical intramedullary spinal cord lipoma.
作者信息
Severino Rocco, Severino Paolo
机构信息
Department of Neurosurgery, "Federico II" University, Naples, Italy.
Department of Neurosurgery, Anthea Hospital, Bari, Italy.
出版信息
Surg Neurol Int. 2017 Oct 24;8:255. doi: 10.4103/sni.sni_257_17. eCollection 2017.
BACKGROUND
Intramedullary, nondysraphic, spinal cord lipomas are rare and account for less than 1% of all spinal cord lesions. Symptoms typically consist of a progressive myelopathy associated with increasing degrees of paralysis (e.g., quadriparesis/plegia, paraparesis/plegia).
CASE DESCRIPTION
A 39-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.
CONCLUSION
Partial debulking of a cervical intramedullary lipoma in a patient who originally presented with a severe quadriparesis resulted in significant neurological improvement. Notably, utilization of intraoperative ultrasonography, CO laser, and both motor evoked and somatosensory evoked potentials can be helpful during the removal of such lipomas.
背景
髓内、非神经管闭合不全性脊髓脂肪瘤罕见，占所有脊髓病变的比例不到1%。症状通常包括与麻痹程度加重相关的进行性脊髓病（如四肢瘫/麻痹、截瘫/麻痹）。
病例描述
一名39岁男性，无脊髓神经管闭合不全病史，出现进行性痉挛性四肢瘫。这归因于磁共振成像记录的巨大颈髓内脂肪瘤。在对病变进行部分髓内手术切除后，患者神经功能得到改善。
结论
最初表现为严重四肢瘫的患者，对颈髓内脂肪瘤进行部分切除后，神经功能有显著改善。值得注意的是，术中超声、CO激光以及运动诱发电位和体感诱发电位在切除此类脂肪瘤时可能会有帮助。
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