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KMID : 1001920140560020157
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Journal of Korean Neurosurgical Society
2014 Volume.56 No. 2 p.157 ~ p.161
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Regrowth of Cervical Intradural Lipoma without Spinal Dysraphism
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Son Doo-Kyung
Son Dong-Wuk
Choi Chang-Hwa
Song Geun-Sung
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Abstract
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A 49 years old male patient who suffered from deterioration of posterior neck pain, left hand numbness, left lower limb pain and gait disturbance for 3 years visited our outpatient department. He had been diagnosed as non-dysraphic cervical intradural lipoma and operated in August 1990. On the radiologic images, we found the regrowth of non-dysraphic cervical intradural lipoma from C2 to C7 level, which surrounds and compresses the cervical spinal cord. Previous subtotal laminectomy from C2 to C7 and severe cervical lordosis were also found. Appropriate debulking of lipoma mass without duroplasty was successfully done with intraoperative neurophysiological monitoring (IONM). We are following up the patient for 24 months via outpatient department, his neurologic symptoms such as hand numbness, gait disturbance, left lower limb pain and posterior neck pain have improved. We describe a rare case of regrowth of non-dysraphic cervical intradural lipoma.
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KEYWORD
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Spinal lipoma, Spinal cord lipoma, Extent of resection, Regrown lipoma
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