G Model BONSOI-4157; No. of Pages 1

ARTICLE IN PRESS Joint Bone Spine xxx (2015) xxx–xxx

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Images in rheumatology

MRI aspect of intradural extramedullary lipoma Clément Prati a , Benoit Barbier Brion b , Daniel Wendling a,∗ a b

Rheumatology unit, CHU Jean-Minjoz, boulevard Fleming, 25030 Besanc¸on, France Radiology unit, Clinique Saint-Vincent, Besanc¸on, France

Fig. 1.

Lumbar spine MRI performed due to inflammatory low back pain in a 34-year-old male patient. The lesion appears T1 hyperintense (Fig. 1A), mass is very limited in 3D Cosmic sequence wherein passing the nerve roots (Fig. 1B). Non-dysraphic intradural lipomas are rare (less than 1% of intradural tumors). This image leads to the diagnosis of intradural extramedullary lipoma [1]. These lipomas have clinical presentation as back pain, paraesthesia, radicular pain or urinary dysfunction. The progressive growth of lipoma explains the nerves adaptation and no initial symptoms. In case of surgery, total resections are unnecessary because of no cleavage site between the lesion and nerves.

Disclosure of interest The authors declare that they have no conflicts of interest concerning this article. Reference [1] Beall DP, Googe DJ, Emery RL, et al. Extramedullary intradural spinal tumors: a pictorial review. Curr Probl Diagn Radiol 2007;36:185–98.

∗ Corresponding author. E-mail address: [email protected] (D. Wendling). http://dx.doi.org/10.1016/j.jbspin.2015.04.005 1297-319X/© 2015 Société franc¸aise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.

Please cite this article in press as: Prati C, et al. MRI aspect of intradural extramedullary lipoma. Joint Bone Spine (2015), http://dx.doi.org/10.1016/j.jbspin.2015.04.005

MRI aspect of intradural extramedullary lipoma.

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