A Case Report of an Upper Cervical Spine Osteolipoma With Unusual Clinical Presentation

Osteolipoma is an uncommon benign lipomatous tumor characterized by the presence of mature adipose tissue intermixed with lamellar bone. We present a unique case of a 22-year-old female with an osteolipoma in the upper cervical paraspinal region, closely associated with the vertebral artery. The patient exhibited atypical symptoms, including intermittent dizziness and numbness around the right eye, which were previously unreported in similar spinal cases. Diagnosis was confirmed through multimodal imaging and CT-guided biopsy. Surgical excision was performed without complications, and the patient experienced complete symptom resolution at follow-up. This report contributes novel clinical and anatomical insights to the limited literature on spinal osteolipomas, emphasizing the importance of individualized evaluation and multidisciplinary management for optimal outcomes.