SUBPIAL SPINAL LIPOMA: SURGERY WITH INTRAOPERATIVE MONITORING OF NEURAL FUNCTION AND REVIEW OF LITERATURE
Journal: International Journal of Neurology and Brain Disorders (Vol.3, No. 3)Publication Date: 2016-08-25
Authors : Dâ ™Andrea Giancarlo;
Page : 1-6
Keywords : Spinal lipoma; subpial lipoma; medullary lipoma; IOM;
Abstract
Intradural spinal lipomas not associated with congenital dysraphism and malformations, are rare and benign slow growing tumors, representing about 1% of all spinal tumors. We report two cases both of a 59 years-old women complaining of gait difficulties, progressive para-paresis and long history of back pain with a magnetic resonance imaging suggestive for a subpial spinal lipoma with compression of posterior aspect of spinal cord from T1 to T3 and cono-cauda. The aim of this paper is to illustrate the technique of resection of this type of lesions and to emphasize the role of intraoperative neurophysiological monitoring in order to perform a safer surgery and to objectively establish its end with an extensive review of the literature focused on this aspect.
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