| CASE REPORT |
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| Year : 2020 | Volume
: 11
| Issue : 2 | Page : 152-154 |
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Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma
Atul Goel1, Abhinandan Patil2, Abhidha Shah2, Survendra Rai2, Ravikiran Vutha2, Shashi Ranjan2
1 Department of Neurosurgery, KEM Hospital and Seth GS Medical College; Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2 Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India
Correspondence Address:
Prof. Atul Goel
Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Parel, Mumbai - 400 012, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jcvjs.JCVJS_65_20
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A case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral junction suggested atlantoaxial “facetal” instability. Atlantoaxial fixation was done, and the intramedullary lipoma was not physically handled or manipulated during surgery. The patient improved in his neurological condition following surgery. The follow-up imaging showed that the intramedullary lipoma reduced significantly in its dimensions. From the case, it appears that the presence of “fat” and “water” in the intramedullary location might have similar pathogenesis.
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