• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一例罕见的脑干至胸段脊髓髓内脂肪瘤——该如何处理？

A Rare Case of Intramedullary Lipoma of Brainstem to Thoracic Cord--What to Do?

作者信息

Bishnoi Ishu, Singh Pardaman, Duggal Geetika, Sorout Sunil

机构信息

Department of Neurosurgery, Maharaja Agrasen Medical College, Agroha, Haryana, India.

Department of Radiology, Maharaja Agrasen Medical College, Agroha, Haryana, India.

出版信息

J Pediatr Neurosci. 2020 Apr-Jun;15(2):145-149. doi: 10.4103/jpn.JPN_134_19. Epub 2020 Jun 27.

DOI:10.4103/jpn.JPN_134_19
PMID:33042250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519731/
Abstract

INTRODUCTION

Intramedullary lipomas are rare, representing 1% of spinal cord tumors. There are less than 25 case reports about cord lipoma extending into brain. Due to paucity of literature, etiology and management are not well established.

CASE REPORT

A 14-month-old baby girl was brought with complaints of torticollis toward right side, left upper limb monoplegia, and swallowing difficulty for 6 months. Magnetic resonance imaging brain and spine confirmed the diagnosis of cervicothoracic intramedullary lipoma extending till pontomedullary junction, invading subcutaneous fat. She underwent partial resection of lesion along with decompression. The recovery was good.

CONCLUSION

Such lipoma needs extensive pre-, intra-, and postoperative planning. The goal should be decompression, rather than excision. Outcome is good with partial resection.

摘要

引言

髓内脂肪瘤很罕见，占脊髓肿瘤的1%。关于脊髓脂肪瘤延伸至脑部的病例报告不足25例。由于文献资料匮乏，其病因和治疗方法尚未完全明确。

病例报告

一名14个月大的女婴因右侧斜颈、左上肢单瘫和吞咽困难6个月前来就诊。脑部和脊柱磁共振成像确诊为颈胸段髓内脂肪瘤，延伸至脑桥延髓交界处，侵犯皮下脂肪。她接受了病变部分切除及减压手术。恢复情况良好。

结论

此类脂肪瘤需要在术前、术中和术后进行全面规划。治疗目标应为减压，而非切除。部分切除的效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/d8a6611928ca/JPN-15-145-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/d07686fbb42e/JPN-15-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/94c516094d1b/JPN-15-145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/d8a6611928ca/JPN-15-145-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/d07686fbb42e/JPN-15-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/94c516094d1b/JPN-15-145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e9/7519731/d8a6611928ca/JPN-15-145-g003.jpg

相似文献

1
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？
J Pediatr Neurosci. 2020 Apr-Jun;15(2):145-149. doi: 10.4103/jpn.JPN_134_19. Epub 2020 Jun 27.
2
Intramedullary and Extramedullary Thoracic Spinal Lipomas Without Spinal Dysraphism: Clinical Presentation and Surgical Management.无脊髓发育异常的胸段脊髓髓内及髓外脂肪瘤：临床表现与手术治疗
World Neurosurg. 2019 Jan;121:156-159. doi: 10.1016/j.wneu.2018.09.156. Epub 2018 Oct 11.
3
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.
4
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.
5
Nondysraphic cervicomedullary intramedullary lipoma.非开放性颈髓髓内脂肪瘤。
J Craniovertebr Junction Spine. 2017 Jul-Sep;8(3):271-274. doi: 10.4103/jcvjs.JCVJS_130_16.
6
Giant bipolar intramedullary nondysraphic spinal cord lipoma: A case report.巨大双相型髓内无神经管闭合不全性脊髓脂肪瘤：一例报告
Neurochirurgie. 2018 Dec;64(6):442-444. doi: 10.1016/j.neuchi.2018.08.005. Epub 2018 Nov 2.
7
Cervical intramedullary spinal cord lipoma.颈段脊髓髓内脂肪瘤
Surg Neurol Int. 2017 Oct 24;8:255. doi: 10.4103/sni.sni_257_17. eCollection 2017.
8
Rare Cervicothoracic Intramedullary and Extramedullary Lipoma.罕见的颈胸髓内和髓外脂肪瘤。
World Neurosurg. 2020 Jan;133:275-277. doi: 10.1016/j.wneu.2019.10.049. Epub 2019 Oct 16.
9
Nondysraphic intramedullary spinal cord lipoma: a case report.非开放性脊髓内脂肪瘤：一例报告
Ann Med Surg (Lond). 2024 Apr 17;86(6):3683-3689. doi: 10.1097/MS9.0000000000002060. eCollection 2024 Jun.
10
Successful surgical excision of a nondysraphic holodorsal intramedullary lipoma in a 14-month-old child.成功切除一名14个月大儿童的非脊髓分裂性全背侧髓内脂肪瘤。
Pediatr Neurosurg. 2011;47(4):272-4. doi: 10.1159/000334258. Epub 2012 Feb 22.

引用本文的文献

1
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.
2
Pediatric Nondysraphic Intramedullary Lipoma : Report of Two Cases and Review of the Literature.小儿非神经管闭合性髓内脂肪瘤：两例报告及文献复习
J Korean Neurosurg Soc. 2023 Mar;66(2):211-218. doi: 10.3340/jkns.2022.0156. Epub 2022 Sep 8.

本文引用的文献

1
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.
2
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.
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
A posterior fossa lipoma extending into the cervical spine and subcutaneous space via a cranium bifidum.
Brain Dev. 2008 Oct;30(9):603-5. doi: 10.1016/j.braindev.2008.02.006. Epub 2008 Apr 18.
5
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.
6
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.
7
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.
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
Dorsal brain stem lipomas: case report.脑干背侧脂肪瘤：病例报告
Neurosurgery. 1996 May;38(5):1031-5. doi: 10.1097/00006123-199605000-00035.
10
[Cervicobulbar intramedullary lipoma. Apropos of a case with review of the literature].[颈延髓髓内脂肪瘤。附1例报告并文献复习]
Neurochirurgie. 1992;38(5):309-14.