Nondysraphic Intramedullary Lipoma of the Cervical Spine: A Systematic Review of Management Strategies and Outcomes

Grasso, Giovanni; Paolini, Federica; Sallì, M; Kim, Hyeun Sung; Torregrossa, Fabio

doi:10.1016/j.wneu.2023.02.131

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Treatment options for lipomas include surgical and non-surgical methods, with the latter encompassing steroid injections and liposuction aimed at reducing the lipoma's size and removing fat tissue (18). However, given the size of the lipoma in this case, surgical excision is preferred.…”

Section: Discussionmentioning

confidence: 99%

Case report: a case report of excision of giant lipoma in the posterior neck

Du,

Wang,

Dai

et al. 2024

Front. Oncol.

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Lipomas, benign tumors originating from the anomalous proliferation of adipocytes, predominantly emerge in regions rich in adipose tissue. However, their presence in the head and neck areas remains rare, constituting approximately 13% of all diagnosed lipoma cases. This study presents a case involving a substantial subcutaneous lipoma located at the posterior neck, measuring about 20 cm × 19 cm × 10 cm. The patient presented with swelling and pain in the back of the neck. And the considerable dimensions of this lipoma significantly impacted the patient’s quality of life and aesthetic appearance. Concurrently, the patient exhibited symptoms indicative of degenerative cervical spine disease and cervical disc herniation. After admission, a comprehensive examination, including ultrasound, CT scan, and MRI, was conducted. Given the clinical complexity, the decision for surgical intervention was deemed essential. The surgical strategy entailed a meticulous total excision of the tumor through an incision made in the posterior cross-neck, coupled with the strategic removal of excess skin. To facilitate wound healing, postoperative management included the use of negative pressure drainage. Pathological examination conclusively identified the mass as a lipoma. Postoperative follow-ups indicated successful recovery, as evidenced by the restoration of the neck’s aesthetic contour and the complete resolution of the previously observed restrictions in sagittal neck movement.

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Section: Discussionmentioning

confidence: 99%

Case report: a case report of excision of giant lipoma in the posterior neck

Du,

Wang,

Dai

et al. 2024

Front. Oncol.

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“…Grasso et al examined 24 individuals diagnosed with non-dysraphic cervical intradural intramedullary lipoma of the spinal cord. The neurological deficits patients experienced improved due to their surgical care, which included subtotal tumor removal, partial tumor removal, and simple laminectomy, which was conducted on 22 patients (91.7 %) [ 19 ]. However, a different study conducted by Ikeda et al [ 20 ] reported relatively poor postoperative results for patients whose tumors were removed excessively (>60 %) or completely.…”

Section: Discussionmentioning

confidence: 99%