Author/Editor		Pasalic, Ivan; Brginc, Klara; Nemir, Jakob; Kolenc, Danijela; Njiric, Niko; Mrak, Goran
Title		Intramedullary spinal cord lipoma mimicking a late subacute hematoma
Type		članek
Vol. and No.		Letnik 13, št. 4
Publication year		2018
Volume		str. 1282-1284
ISSN		2248-9614 - Asian journal of neurosurgery
Language		eng
Abstract		Spinal cord lipomas are rare and benign tumors which may cause progressive neurological deficits due to their local expansion. We present the case of a 59-year-old male patient with severe lumbosacral pain and slowly progressive paresis of the right leg, misdiagnosed with degenerative spine disease. Repeated magnetic resonance (MR) T1-weighted images of the thoracic spine suggested a subacute intramedullary hematoma. Due to progression of the neurological deficit, the patient was referred to a neurosurgeon, who indicated surgical evacuation of the hematoma. The intraoperative finding revealed an intramedullary spinal cord lipoma, which was later confirmed by histological analysis. Since subacute intramedullary hematomas and intramedullary spinal cord lipomas present with similar clinical and radiological features, diffusion-weighted MR imaging should be used to distinguish these entities.
Keywords		diffusion-weighted imaging intramedullary spinal cord lipoma subacute intramedullary hematoma difuzijsko tehtano slikanje intramedularni lipomi hrbtenjače subakutni intramedularni hematom