Intraspinal lipoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

20 year old female with bilateral lower limb numbness.

Patient Data

Age: 20
Gender: Female
x-ray

Multilevel spina bifida.

mri

High T1 and T2 intradural extra medullary oval shape lesion that suppress on fat sat sequences. No enhancement seen on post Gad administration. Finding in keeping with intraspinal lipoma. Multilevel spin bifida is seen with tethered spinal cord. No dermal sinus is noted.

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