ABSTRACT
Non-dysraphic spinal cord lipomas are rare benign lesions, accounting for approximately 1% of all spinal cord tumors. Patients usually present with long histories of disability followed by rapid progression of their symptoms. Presenting symptoms include spinal pain, dysesthesic sensory changes, gait difficulties, weakness, and incontinence. Magnetic resonance imaging is the examination of choice. The T1- and T2-weighted images show increased and decreased signal intensity, respectively. The goal of intervention is decompression and generous debulking following by duraplasty. Early diagnosis of spinal cord lipomas and early surgery is advanced prior to irreversible disease progression. One new case of true non-dysraphic cervicodorsal spinal cord lipoma is reported.
Subject(s)
Lipoma/pathology , Spinal Cord Neoplasms/pathology , Spinal Dysraphism/pathology , Adult , Humans , Lipoma/surgery , Magnetic Resonance Imaging , Male , Spinal Cord/pathology , Spinal Cord Neoplasms/surgery , Treatment OutcomeSubject(s)
Actinomycosis/diagnosis , Brain Diseases/diagnosis , Brain Diseases/microbiology , Humans , Male , Middle AgedABSTRACT
The authors report a case of a double localization of an intracranial germinoma in the pineal and suprasellar regions, which represents only 2 to 7% of all germinomas. Reviewing the literature, they discuss the pathogenesis, histopathology, biology and treatment of these tumours.
