Introduction
Case series
Patient | Sex | Age at diagnosis (months) | Sing and symptoms | Level of lipoma | Hydrocephalus | First surgery | Second surgery | Third surgery | Complications | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
A | M | 36 | Spastic tetraparesis, scoliosis, neurogenic bladder, ocular lipoma, restrictive ventilatory deficit | Cervico-dorsal | Yes | Ventriculocisternostomy | Debulking lipoma | Debulking lipoma + vertebral arthrodesis | No | Low-grade glioneuronal neoplasm with deceased |
B | M | 2 | Alopecia, scoliosis, psychomotor delay, hydrobulbia hydromyelia | Bulb-dorsal | Yes | Debulking lipoma | DVE | Debulking lipoma + vertebral arthrodesis | No | Deceased |
C | M | 60 | Lower back pain, motor disturbances, pigmented skin lesions, attention deficit | Cervico-lumbar | No | Debulking lipoma | Debulking lipoma | Debulking lipoma + vertebral arthrodesis | Intraoperative loss of motor potentials | In progress |
Discussion
Case | Sex | Age at diagnosis (months) | Sing and symptoms | Level of lipoma | Hydrocephalus | First surgery | Second surgery | Third surgery | Fourth surgery | Complications | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
A12 | M | 108 | Neck pain, alopecia, scalp lipoma, coloboma, chorioretinitis, mental retardation, cerebral lipoma | Dorsal | No | Lipoma resection | No | No | No | Paraparesis, neurogenic bladder, and bowel | Worsed |
B13 | M | 108 | Paraplegia, alopecia, chorioretinitis, mental retardation, sphenocavernosal lipoma | Dorsal | No | No | No | No | No | No | N/A |
C5 | M | 1 | Multiple lipoma in the cranio-facial region, limbal dermoid, glaucoma, alopecia, epibulbar dermoid | Cervical and lumbar | No | Epibulbar dermoid resection | Spinal cord lipoma resection | No | No | No | Improvement |
D10 | M | 3 | Lipomatous mass in the temporal limbus, coloboma, alopecia, scoliosis, cerebral lipoma, tethering spinal cord | Cervico-sacral | Yes | ETV | Debulking of the cervicomedullary junction lipoma | VPS | Resection lumbar lipoma + spinal cord untethering | No | Progressive scoliosis |
E14 | F | N/A | Multiple lipomatous mass, mild liver dysfunction, choroidal coloboma, dermolipoma of the right limbus, unilateral hearing loss, lipomatous lesion in APC | Cervico-dorsal | No | Lipoma debulking | No | No | No | No | Improvement |
F15 | F | 0 | Alopecia, nodules on the right side of the face, epibulbar dermoid, aniridia, low-set ears, coloboma, multiple soft subcutaneous masses over the back, lipoma at right APC, tethered spinal cord | Cervico-lumbar | Yes | VPS | No | No | No | No | N/A |