Thoracic intradural extramedullary lipomas. Report of three cases and review of the literature

被引:21
作者
Klekamp, J [1 ]
Fusco, M [1 ]
Samii, M [1 ]
机构
[1] Krankenhaus Nordstadt, Neurochirurg Klin, Med Hsch Hannover, D-30167 Hannover, Germany
关键词
lipoma; spinal cord; spinal dysraphism; tethered cord;
D O I
10.1007/s007010170030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background. Indication for surgery and the surgical strategy for treatment of spinal intradural lipomas arc still discussed controversially. Among spinal lipomas the cervicothoracic region is rarely affected, We report on our experience with spinal decompression for the treatment of three intradural thoracic lipomas. Findings. Three adult patients with extramedullary intradural lipomas of the thoracic spinal cord demonstrated progressive neurological symptoms and signs without evidence of growth of the lipoma. All patients underwent surgery with decompression of the affected spinal levels. No attempt was made to reduce the size of the lipomas. Postoperatively, each patient demonstrated significant clinical improvement, Interpretation. Attempts to remove lipomas are associated with significant risks of surgical morbidity. Lipomas are hamartomas which change their size according to alterations of body fat. Therefore, decompression of the affected spinal levels is sufficient to achieve significant neurological improvement.
引用
收藏
页码:767 / 773
页数:7
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