International Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain Disorders2377-1348Ommega Online PublishersNew Jersey, USA98810.15436/2377-1348.16.988Research ArticleSubpial Spinal Lipoma: Surgery with Intraoperative Monitoring of Neural Function and Review of LiteratureSubpial Spinal Lipoma: Surgery with Intraoperative Monitoring of Neural Function and Review of LiteratureD'AndreaGiancarlo 1S Andrea Hospital Institute of Neurosurgery University of Rome ldquo La Sapienza rdquo Italy 2S Andrea Hospital Institute of Anesthesiology University of Rome ldquo La Sapienza rdquo Italy 3S Giuseppe Moscati Hospital Avellino Italy Editor* E-mail: gdandrea2002@yahoo.it
The authors have declared that no competing interests exist.
20160107201633IJNBD-16-CR-98823062016250620162016Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp emsp emsp Intradural spinal lipomas not associated with congenital dysraphism and malformations are rare and benign slow growing tumors representing about 1 of all spinal tumors We report two cases both of a 59 years-old women complaining of gait difficulties progressive para-paresis and long history of back pain with a magnetic resonance imaging suggestive for a subpial spinal lipoma with compression of posterior aspect of spinal cord from T1 to T3 and cono-cauda The aim of this paper is to illustrate the technique of resection of this type of lesions and to emphasize the role of intraoperative neurophysiological monitoring in order to perform a safer surgery and to objectively establish its end with an extensive review of the literature focused on this aspect 10