DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.104

Pages: 1302-1304

Intramedullary spinal cord lipomas are rare benign lesions, accounting for less than 1% of all spinal cord tumors. Most cases are associated with spinal dysraphism, whereas nondysraphic forms in adults are exceptional. To describe the clinical and magnetic resonance imaging [MRI] features of a nondysraphic dorsal intramedullary lipoma in a 54-year-old woman presenting with chronic compressive myelopathy. Clinical findings and spinal MRI performed on a 1.5-T system were analyzed, with emphasis on lesion signal characteristics and compressive features. MRI demonstrated a well-defined dorsal intramedullary lesion hyperintense on T1- and T2-weighted images, with complete signal suppression on fat-saturated sequences and no post-contrast enhancement, consistent with intramedullary lipoma. The lesion caused spinal cord expansion and compressive effect. Intramedullary lipoma should be considered in cases of chronic non-traumatic spinal cord compression. MRI provides definitive diagnosis and is essential for therapeutic planning.