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
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