Epidural lipomatosis: A dilemma in interventional pain management for the use of epidural Steroids

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Idiopathic spinal epidural lipomatosis.

Spinal epidural lipomatosis is a rare disorder characterized by the pathological overgrowth of epidural fat and often causes extradural compression which may mimic other spinal disorders. Steroid administration is a well-documented etiology. We report a case of spinal epidural lipomastosis without history of steroid administration. The initial manifestation was bizarre and was misdiagnosed as a...

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Spinal Epidural Lipomatosis in Korean

Spinal epidural lipomatosis (SEL) is a rare disorder, regarded in literature as a consequence of administration of exogenous steroids, associated with a variety of systemic diseases, endocrinopathies and the Cushing's syndrome. Occasionally, SEL may occur in patients not exposed to steroids or suffering from endocrinopathies, namely, idiopathic SEL. Thus far, case studies of SEL among Korean ha...

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Idiopathic epidural lipomatosis of the lumbar spine

A 50-year-old male without medical history presented with progressive development of motor weakness in his lower extremities and urinary leakage. For one year, he had experienced severe lower back pain associated to bilateral radicular claudication of the lower limbs. Physical examination revealed stepping with bilateral foot dorsiflexor weakness (2/5). Deep-tendon reflexes were abolished in bo...

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BACKGROUND Epidural injection of corticosteroids is one of the most commonly used interventions in managing chronic spinal pain. However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of epidural injections. Consequently, debate continues as to the value of epidural steroid injections in managing spinal pain. OBJECTIVE To evaluate the eff...

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ژورنال

عنوان ژورنال: Journal of Anaesthesiology Clinical Pharmacology

سال: 2013

ISSN: 0970-9185

DOI: 10.4103/0970-9185.117070