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Journal of Korean Neurosurgical Society 1979;8(1): 109-114. |
| A Case of Intradural Lipoma of the Lower Thoracic Spinal Cord. |
| Woo Sup Chung, Jung Chul Lim, Sam Suk Kang, Jung Chung Lee |
| Department of Neurosurgery, Chonnam University, Medical School, Kwangju, Korea. |
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| ABSTRACT |
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A case of intradural spinal lipoma without congenital abnormalities is presented. A 37 year-old male was admitted to our hospital because of paralysis of both legs and sphincteric disturbance. Neurologic findings were spastic paraplegia, hypesthesia on the level of T10, 11 dermatoma, anesthesia below the level of T12 dermatoma, Beevor's sign, bilateral ankle clonus and Babinski sign. Plain thoracolumbar spine X-ray showed widening of the interpedicular distances of T10, 11 in A-P view, and scalloping in the posterior aspect of the bodies of T10, 11 in lateral view. Myelogram showed widening of the dye column and double cup-like filling defect at the level of the T12 spinal body. Total laminectomy was performed from L1 through T9. The tumor located from T10 to T12 of the spinal level intradurally, and also diffusely infiltrated the cord, making complete removal impossible. The histopathologic examination confirmed the lipoma. The patient was discharged without improvement of neurologic deficits. |
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