A Case of Epidural Lipomatosis With Lumbar Canal Stenosis
Journal Title: Journal of Neurological Sciences-Turkish - Year 2012, Vol 29, Issue 2
Abstract
Objective: Idiopathic symptomatic spinal epidural lipomatosis is not a common clinical condition. There are a few cases reported in the literature discussing the magnetic resonance imaging (MRI) findings of epidural lipomatosis. Characteristic imaging findings of this clinical condition is represented. Methods: Evaluation of epidural fat and thecal sac is ideal with MRI. Involved vertebra level is seen optimal as well. Literature suggests decompressive surgery with fat debulking for symptomatic relief for patients with neurological deficits diagnosed with epidural lipomatosis and lumbar canal stenosis if conservative therapy fails to respond. Results: A severe case of spinal epidural lipomatosis with lumbar canal stenosis is presented. Characteristic MRI and CT findings of lumbar canal degeneration, dural sac compression, deformity and significant fat deposition are demonstrated. Conclusion: Epidural lipomatosis may cause neurological complications and deficits such as neurogenic claudication or radicular symptoms. Weight reduction should be attempted for symptomatic relief. Symptoms and neurological findings should determine therapeutic paradigm.
Authors and Affiliations
Savas TEPE, Mehmet KARA, Celal IPLIKCIOGLU
Keywords
Related Articles
- EP ID EP93156
- DOI -
- Views 73
- Downloads 0
Veritabanı Kaynak Tanımı Üzerine Meta-analiz ile Spina Bifidada Biyolojik İşaretleyicilerin Değişikliklerinin Tanınması
Spina bifida iyi bilinen doğmalık bir anomalidir. Spina bifidanın epidemiyolojik incelenmesinin uzun bir öyküsü vardır. Genetik, beslenmeye bağlı ve teratogenik mekanizmaların spina bifida gelişiminde ilişkide olduğu bil...
Electrophysiologic Findings in a Case of Severe Botulism
Botulism is a rare but severe and rapidly progressing neurological disease. Here, we describe a 44 year old woman developed nausea, vomiting, diarrhea and cranial nerve palsies after eating spaghetti with tomato sauce pr...
The Effects of Female Sexual Hormones and Estrogen Receptor Agonists on The NF-κB p50 and p65 Levels Following TBI in Rat Intestine
Objectives: The purpose of this study was to evaluate the role of female sexual hormones on the intestinal NF-κB levels following traumatic brain injury (TBI) induction. Materials and methods: Diffuse TBI was induced by...
Maymun ve Sıçanlarda Orta Serebral Arterin Kapanmasını Takiben İnsülin-Benzeri Büyüme Faktörü-1 Yapımındaki Değişiklikler: cDNA Mikroarray, İmmünohistokimya ve İn Situ Hibridizasyon Çalışmaları
Sıçan ve koyun modelinde serebral iskemi üzerine, insülin benzeri büyüme faktörünün (IGF-1) kuvvetli bir nöroprotektif etkisi olduğu bilinmektedir. İnsanda inme sırasında nöroprotektif bir etki olup olmadığının araştırıl...
Mutation Prone Point In Thyrotropin Releasing Hormone Receptor
Background: Thyrotropin-releasing hormone (TRH) has an important role in the regulation of energy homeostasis. Pathological alterations of TRH receptor (TRHR) structure and function are an important cause of genetic neur...