Intradural lipoma at the craniocervical junction

Intradural spinal lipomas are extremely rare tumors, especially in the craniocervical junction. In a review of the literature, few articles share details on such cases and the best practices for clinical management of this pathology. In the following report, the authors present the case of a 62-year-old man who presented with acute onset dizziness and headache. A CT scan of the cervical spine revealed fatty tissue that was further confirmed by an MRI to be an intradural lipoma at C1-C2 level causing minimal mass effect on spinal cord without myelopathy or hydrocephalus. Therefore, the patient was treated conservatively through an appropriate course of medications with complete resolution of his symptoms.