Lipoma of cervical spinal canal in 1 case report of giant.docVIP

 PAGE \* MERGEFORMAT 4 Lipoma of cervical spinal canal in 1 case report of giant Study: Cheng Lu Wang Heng Zhong Wenjun Ruan Ziping [Keywords:] cervical spinal giant lipoma Undergraduate Office in 2006, treated a patient, female, 38 years old, Chuzhou people, the Department of the neck 3 months ago discomfort, neck pain activity was not addressed and checked, after accidentally during a physical examination cervical spine X ray showed: Tips C2 lamina abnormalities. then went to Shanghai Long March, Long Hai and Nanjing Military Region General Hospital for treatment, line-related examination of cervical spinal canal considered as occupying, lipoma may require hospitalization surgery patients after due to economic reasons, to our hospital and admitted to hospital. admission physical examination: Shen Qing, gas level, and obviously did not hear abnormal heart and lung, neck discomfort, no touch tenderness and percussion pain, both upper and lower limbs activities feelings are normal, normal muscle strength, physical reflection exist, pathological reflex was not elicited, urine normal. laboratory examination was normal. cervical CT and MRI examination revealed: C2 ~ 6 spinal placeholder (consider lipoma), clear boundary canal volume accounts for about 4 / 5, the spinal cord was compressed, the normal spinal cord signal. After admission in patients with normal preoperative examination and preparation, anesthesia and endotracheal intubation in the posterior laminectomy, tumor removal, and anterior interbody fusion with plate fixation. Surgery will remove the lower edge of lamina C2, C3 ~ 5 whole lamina C6 vertebral resection and removal of the upper edge, visible lamina thin, especially C2 lamina was, longitudinal incision dura mater, see the big fat kind of tumor, no obvious capsule, then to remove the tumor under the microscope, the ventral spinal cord tumor invasion and little visible as possible to remove the tumor (intramedullary still a little resid