2023 Volume 48 Issue 4 Pages 356-361
Spinal lipoma without spinal dysraphism is extremely rare. A 2-month-old girl presented with hypermyotonia at 1 month of age, and suddenly went into tetraplegia. Magnetic resonance images revealed dorsal spinal intramedullary lipoma extending from the level of the medulla to Th2 level. Total removal of the lipoma caused complications because of the intramedullary tumor. Therefore, we performed partial resection to reduce pressure on the spine. Postoperatively, the patient’s neurological status improved significantly, and the lower limb somatosensory evoked potential, which was absent before decompression, was detected. As there is no established treatment for this type of lipoma, we should perform decompression positively.
