Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature
Introduction. Osteolipomas are uncommon variants of lipoma. These lesions have been usually reported to arise from the oral cavity, brain, and neck and scarcely from the knee and thigh. Intraspinal osteolipomas are rare. A single case of intraspinal osteolipoma has been reported in the cervical and...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/1945149 |
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| author | S. Dilip Chand Raja Rishi Mugesh Kanna Ajoy Prasad Shetty S. Rajasekaran |
| author_facet | S. Dilip Chand Raja Rishi Mugesh Kanna Ajoy Prasad Shetty S. Rajasekaran |
| author_sort | S. Dilip Chand Raja |
| collection | DOAJ |
| description | Introduction. Osteolipomas are uncommon variants of lipoma. These lesions have been usually reported to arise from the oral cavity, brain, and neck and scarcely from the knee and thigh. Intraspinal osteolipomas are rare. A single case of intraspinal osteolipoma has been reported in the cervical and thoracic spine in the literature. To our knowledge, there is no report of osteolipomas in the lumbar spine. Case Presentation. We report a very rare case of a solitary lumbar intraspinal osteolipoma, presenting as a cauda equina syndrome. The intraspinal osteolipoma was excised en bloc and fusion was performed as it required partial resection of the facet joint within 24 hours of presentation. He has since then improved neurologically, and there has been no recurrence of the lesion so far. The clinical presentation, radiological characteristics, treatment course, and histopathological features of this lesion along with the clinical outcomes and a pertinent literature review were done and have been discussed. Discussion. The heterogeneous signal intensity of the lesion in MRI differentiates it from other dural-based lesions, and this should raise suspicion of an osteolipoma, which warrants a CT. Although intraspinal osteolipomas are benign lesions and generally have good prognosis, they need to be removed en bloc as they may result in rapid neurological deterioration. |
| format | Article |
| id | doaj-art-0741c0bd858a45668ae4fed970ffc334 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0741c0bd858a45668ae4fed970ffc3342025-02-03T05:53:11ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/19451491945149Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of LiteratureS. Dilip Chand Raja0Rishi Mugesh Kanna1Ajoy Prasad Shetty2S. Rajasekaran3Department of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, IndiaDepartment of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, IndiaDepartment of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, IndiaDepartment of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, IndiaIntroduction. Osteolipomas are uncommon variants of lipoma. These lesions have been usually reported to arise from the oral cavity, brain, and neck and scarcely from the knee and thigh. Intraspinal osteolipomas are rare. A single case of intraspinal osteolipoma has been reported in the cervical and thoracic spine in the literature. To our knowledge, there is no report of osteolipomas in the lumbar spine. Case Presentation. We report a very rare case of a solitary lumbar intraspinal osteolipoma, presenting as a cauda equina syndrome. The intraspinal osteolipoma was excised en bloc and fusion was performed as it required partial resection of the facet joint within 24 hours of presentation. He has since then improved neurologically, and there has been no recurrence of the lesion so far. The clinical presentation, radiological characteristics, treatment course, and histopathological features of this lesion along with the clinical outcomes and a pertinent literature review were done and have been discussed. Discussion. The heterogeneous signal intensity of the lesion in MRI differentiates it from other dural-based lesions, and this should raise suspicion of an osteolipoma, which warrants a CT. Although intraspinal osteolipomas are benign lesions and generally have good prognosis, they need to be removed en bloc as they may result in rapid neurological deterioration.http://dx.doi.org/10.1155/2018/1945149 |
| spellingShingle | S. Dilip Chand Raja Rishi Mugesh Kanna Ajoy Prasad Shetty S. Rajasekaran Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature Case Reports in Orthopedics |
| title | Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature |
| title_full | Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature |
| title_fullStr | Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature |
| title_full_unstemmed | Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature |
| title_short | Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature |
| title_sort | lumbar intraspinal osteolipoma presenting as cauda equina syndrome a case report and review of literature |
| url | http://dx.doi.org/10.1155/2018/1945149 |
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