Goel Atul, Patil Abhinandan, Shah Abhidha, Rai Survendra, Vutha Ravikiran, Ranjan Shashi
Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India.
Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
J Craniovertebr Junction Spine. 2020 Apr-Jun;11(2):152-154. doi: 10.4103/jcvjs.JCVJS_65_20. Epub 2020 Jun 5.
A case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral junction suggested atlantoaxial "facetal" instability. Atlantoaxial fixation was done, and the intramedullary lipoma was not physically handled or manipulated during surgery. The patient improved in his neurological condition following surgery. The follow-up imaging showed that the intramedullary lipoma reduced significantly in its dimensions. From the case, it appears that the presence of "fat" and "water" in the intramedullary location might have similar pathogenesis.
报告了一例32岁男性患者的病例。他因右上肢和胸部烧灼样感觉异常以及腿部痉挛而入院。检查发现一个长节段髓内肿瘤,其影像强度与脂肪瘤相符。颅颈交界区成像提示寰枢椎“关节面”不稳定。进行了寰枢椎固定术,手术过程中未对髓内脂肪瘤进行实际处理或操作。术后患者神经状况有所改善。随访成像显示髓内脂肪瘤尺寸显著减小。从该病例来看,髓内部位出现“脂肪”和“水”可能具有相似的发病机制。