Intramedullary lipomas of the cervical spinal cord without dysraphism are rare lesions, accounting for only 1 of spinal cord tumors. We experienced a 60 year old male with cervicothoracic C6 to T2 lipoma who complained of dysesthesia in his lower extremities. Magnetic resonance imaging identified a tumor which was dorsolateral to the cord in the intramedullary legion. In these cases, a fat suppression sequence is useful for diagnosis. He underwent surgery for partial removal of the tumor and

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... ansive laminoplasty. Postoperative course of the patient was uneventful and follow up showed an improvement in sensory disturbance.