Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case

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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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Idiopathic Lumbar Epidural Lipomatosis

We present two cases of idiopathic spinal epidural lipomatosis. Case 1: A 77-year-old man experienced tightness in bilateral lower extremities and neurogenic claudication for 1 year. He was overweight with a body mass index of 30.8 kg/m2. Magnetic resonance imaging revealed extensive epidural lipomatosis of lumobsacral spine with significant constrictive compression of the thecal sac. Case 2: A...

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Idiopathic Spinal Epidural Lipomatosis in the Lumbar Spine.

Overgrowth of epidural fat, known as spinal epidural lipomatosis (SEL), can cause symptomatic compression of the spinal cord, conus medullaris, or cauda equina. Suggested predisposing factors such as obesity, steroid use, and diabetes mellitus have been based on a few reported cases, many of which were not surgically confirmed. There is a paucity of epidemiological data in surgically confirmed ...

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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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*Associate Professor, ** Professor and Head, ***Resident, Institution Department of Radiodiagnosis, S. N. Medical College, Agra, U.P., India. Abstract Spinal epidural lipomatosis (SEDL) is defined as pathological overgrowth of the normal extra-dural fat and often causes dural impingement, commonly involving lumbar and thoracic spine. It is most often associated with exogenous steroid therapy an...

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ژورنال

عنوان ژورنال: European Spine Journal

سال: 2007

ISSN: 0940-6719,1432-0932

DOI: 10.1007/s00586-007-0465-0