Clinical manifestation and neurosurgical intervention of encephalocraniocutaneous lipomatosis—a case report and review of the literature
详细信息 查看全文
- 作者：Chia-Chun Chiang (1) (5)
Shih-Chieh Lin (2) (5)
Hsiu-Mei Wu (3) (5)
Jia-Chi Wang (4) (5)
Tsui-Fen Yang (4) (5)
Hsin-Hung Chen (1) (5)
Donald M. Ho (3) (5)
Tai-Tong Wong (1) (5) - 关键词：Encephalocraniocutaneous lipomatosis ; Surgical decompression ; Compressive cervical myeloradiculopathy ; Spine
- 刊名：Child's Nervous System
- 出版年：2014
- 出版时间：January 2014
- 年：2014
- 卷：30
- 期：1
- 页码：13-17
- 全文大小：224 KB
- 作者单位：Chia-Chun Chiang (1) (5)
Shih-Chieh Lin (2) (5)
Hsiu-Mei Wu (3) (5)
Jia-Chi Wang (4) (5)
Tsui-Fen Yang (4) (5)
Hsin-Hung Chen (1) (5)
Donald M. Ho (3) (5)
Tai-Tong Wong (1) (5)
1. Division of Pediatric Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China
5. School of Medicine, National Yang-Ming University, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei, Taiwan, 11217, Republic of China
2. Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China
3. Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China
4. Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China - ISSN：1433-0350
文摘
Introduction Currently, there are only a few reported cases of symptomatic or asymptomatic subpial (intramedullary) spinal lipoma, and therefore no guidelines are available to indicate surgery. These lesions are infrequently associated with spina bifida. Case report Herein, we provide our experience in the neurosurgical intervention of compressive myeloradiculopathy for encephalocraniocutaneous lipomatosis (ECCL). The patient initially presented with bilateral upper hand paralysis, then regained muscle power after surgery and during 1?year of follow-up. We discuss the neurosurgical indications and intervention, imaging studies, other associated symptoms, and the pathogenesis of ECCL in an infant.