脊髄脂肪腫の3例

抄録

3 cases with spinal lipomas were reported. Each case was classified to extradural, intradural and maldevelopmental lipoma. A 40-year-old man with extradural lipoma showed transverse spinal cord lesion syndrome within one month after the onset of numbness in the thigh and had complete recovery after the total excision. A 20-year-old man with intradural lipoma had long duration of involvement and developed to be spastic paralysis inspite of 4 times operations. An another 58-year-old female with maldevelopmental lipoma had the trouble of the trophic ulceration in her right heel, incontinentia urinae and sensory deficite in the foot and saddle area which developed gradually during past 30 years. After subtotal excision the trophic ulceration healed speedy but the neurological status was unchanged.
We stressed that the spinal cord lipoma should be taken into account the classification in connection with location of the tumor which had close relation with clinical course.