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Intramedullary migration of spinal cord lipoma
  1. A Kamat,
  2. G Findlay
  1. Walton Centre for Neurology and Neurosurgery, Liverpool L9 7AL, UK
  1. Correspondence to:
 A Kamat, Department of Neurosurgery, Walton Centre for Neurology and Neurosurgery, Liverpool L9 7AL, UK; 
 anantkamathotmail.com

https://doi.org/10.1136/jnnp.74.11.1593

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    Intramedullary migration of spinal cord lipoma

    Spinal cord lipomas may grow with changes in body fat, and can produce neurological manifestations due to nervous tissue compression or cord tethering. It is very unusual for the tumour to migrate from one part of the cord to another, thus to cause neurological symptoms at the migrated level. This, however, is a report on such a case. To the best of our knowledge, this has not previously been described in the literature.

    Case illustration

    A 45 year old man presented to a different neuroscience centre with a history of deformity of the right foot since childhood. In his 20s, he developed numbness of the right foot, back pain, right sciatica, and a degree of urgency of micturition and of constipation. In 1998, he developed intermittent intercostal pain and was found to have reduced sensation in the left T4 to T12 region. In October 1998, an MRI scan of the spine showed a low lying tethered cord at L3 with a terminal …

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    Footnotes

    • Competing interests: nono declared