An Intramedullary Osteolipoma of the Upper Thoracic Spinal Cord: A Case Report. Issue 3 (July 2016)

• Record Type: Journal Article
• Authors: Kojima, Kota; Iwanami, Akio; Mikami, Shuji; Ishii, Ken; Matsumoto, Morio; Nakamura, Masaya
• Is Part Of: JBJS case connector. Volume 6:Issue 3(2016)
• Publication Date: 2016-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.16.00025
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present a rare case of an intramedullary osteolipoma without any extramedullary connections or coexisting spinal dysraphism. A 48-year-old woman presented with back pain and pain around the lateral aspect of the left thigh. Magnetic resonance imaging (MRI) revealed a heterogeneous hyperintense and hypointense region on T1 and T2-weighted imaging. A cavernous hemangioma was suspected, and the patient was admitted for surgical resection. The histological diagnosis was an intramedullary osteolipoma. Conclusion: MRI with fat suppression and computed tomography are recommended for the diagnosis of an intramedullary osteolipoma, but a definitive diagnosis requires histological examination.