Back Pain in HIV-Infected Patients May Be Due to Spinal Epidural Lipomatosis
نویسندگان
چکیده
Antoine Moulignier1, Matthieu Lafaurie2, Julien Savatovsky3, Marie-Laure Dubreuil-Lemaire4 and Cédric Lamirel5 1Service de Neurologie, Fondation Adolphe de Rothschild, 75019 Paris, France 2Service des Maladies Infectieuses et Tropicales, AP-HP, Hôpital Saint Louis, 75010 Paris, France 3Service d’Imagerie Médicale, Fondation Adolphe de Rothschild, 75019 Paris, France 4Unité d’Evaluation et de Traitement de la Douleur, Service d’Anesthésie et de Réanimation Chirurgicale. AP-HP, Hôpital Saint Louis, 75010 Paris, France 5Département d’Ophtalmologie, Fondation Adolphe de Rothschild, 75019 Paris, France
منابع مشابه
Thoracic myelopathy from coincident fluorosis and epidural lipomatosis.
Skeletal fluorosis is rare in NorthAmerica. It can present with back pain and extremity weakness. Immobilization of the spine and the extremity joints can occur. It is usually caused by abnormally increased oral fluoride intake over many years. Epidural lipomatosis is usually caused by idiopathic obesity or corticosteroid use. It has been linked to highly active antiretroviral therapy (HAART) f...
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Spinal epidural lipomatosis is a rare condition which is described as the accumulation of fat in the extradural territory and often causes dural impingement. Spinal epidural lipomatosis has been implicated in causing a variety of neurologic impairments ranging from back pain, radiculopathy, claudication, myelopathy or even cauda equina syndrome. We report a 46-year-old female with obesity and a...
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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...
متن کاملIdiopathic spinal epidural lipomatosis - two cases report and review of literature.
Spinal epidural lipomatosis (SEL), an abnormal localized or tumor-like accumulation of fat in the epidural space, is an infrequent complication of chronic steroid usage and an uncommon cause of spinal cord compression. During the period of 1990 to 2006, we have two cases of medically heath SEL patients without history of steroid administration. Their initial clinical manifestations were low bac...
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Background and purpose: Median epidural block is often done with some difficulty due to pain, ossification of interspinous ligament and improper positioning of patient. Ïn addition, back pain is common with median approach, that may be due to puncture of ligaments on the line of epidural needle passage. Ïn paramedian approach needle dose not pass through ligaments, so back pain can be theoret...
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