Lee Jong Seok, Kim Young Mi, Chae Soo Ahn, Kim Seung-Ki, Phi Ji Hoon
Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.
Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine and Biochemical Research Institute, Busan, Korea.
J Korean Neurosurg Soc. 2023 Mar;66(2):211-218. doi: 10.3340/jkns.2022.0156. Epub 2022 Sep 8.
Pediatric nondysraphic intramedullary lipoma is very rare, and only limited cases have been reported. In the present case, we present two infant patients with these pathologies who were surgically treated. Previous literature on 20 patients with these diseases who had undergone surgical treatments was analyzed. Surgical treatment should be considered in most symptomatic patients, and laminoplastic laminotomy and internal debulking of the lipoma under intraoperative neurophysiological monitoring are mostly recommended.
小儿非脊髓纵裂性髓内脂肪瘤非常罕见,仅有有限的病例报道。在本病例中,我们介绍了两名患有这些病症并接受手术治疗的婴儿患者。分析了之前20例接受手术治疗的此类疾病患者的文献。大多数有症状的患者应考虑手术治疗,术中神经生理监测下的椎板成形椎板切开术和脂肪瘤内减压术是最常推荐的方法。