Spinal intradural lipoma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Progressive left L1 and L2 radicular symptoms extending to groin and potential cauda equina compression.

Patient Data

Age: 35 years
Gender: Female
mri

Large exclusively fatty intradural extramedullary mass in centered on the left side of the spinal canal at T11/T12 which is displacing and compressing the cord.

Normal alignment. No bone lesion.

L1 conus.

ct

Large fatty intradural mass at T11/T12 compressing the cord.

The upper abdomen is normal.

Case Discussion

A large intradural lipoma nicely illustrated on the T1 images.

Proof that not all cord compressions arise from malignancy or trauma but also benign histopathology, albeit being far from clinically benign if prompt action was not taken for its surgical removal.

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