Cervico-dorsal juxta-medullary lipoma: clinical presentations and surgical management

Spinal non-dysraphic subpial intradural lipoma is rare. It occurs mainly in the dorsal region followed by cervical region. The main presenting feature is sensory loss followed by motor weakness. The aim of this work was to decompress the spinal cord surgically in cases of symptomatizing cervico-dorsal subpial intradural. Nine patients were treated surgically by debulking of the lesion and expansive duroplasty using either fascia lata or artificial dura. All patients had good outcome except one. Supial lipomas of the cervico-dorsal cord can be safely managed through a simple laminectormy spanning the whole lesion and expansive duroplasty