Surgical strategies and outcomes for intradural lipomas over the past 20 years

Adult cervicothoracic subpial fibrolipoma without dysraphism: An extremely rare case report

“…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. In cases of recurrence, the average time between the first and second surgeries was 11 years, and all first surgeries were only partial resections [ 20 ].…”

“…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. In cases of recurrence, the average time between the first and second surgeries was 11 years, and all first surgeries were only partial resections [ 20 ]. In our case, there was a noticeable improvement in muscle strength six weeks after surgery, with motoric strength graded at 5 for the upper extremities and grade 4 for the lower extremities.…”

Tethered Spinal Cord due to Thoracic Spinal Cord Lipoma: Minimally Invasive Surgical Management Case Report and Literature Review

“…There is a growing belief among surgeons that aggressive total resection of intradural lipomas is associated with poor out come and not required for neurologic improvements 5) . Though controversial, there is some evidence to suggest there is a high rate of recurrence, roughly 50% with partial resection at 2-10 years postoperativley, though many of these studies analyzed outcomes in patients with lumbosacral lipomyelomeningoceles, which may have a different natural history than presented in this rare case report 12,13) .…”

“…Spinal lipomas are thought to be a result of failed primary neurulation 11) . They are some of the most common pathologies encountered in pediatric neurosurgery, however, intradural lipomas that are not associated with bony dysraphism (other than simple filar lipomas) are rare, representing less than 1% of all intra dural tumors 1,3,[5][6][7] . Of this group, lipomas located in the thoracic spine are exceedingly rare.…”