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Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis

Lisai, Pietro and Doria, Carlo and Crissantu, Leonardo and Meloni, Giovanni Battista and Conti, Maurizio and Achene, Antonio (2001) Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis. Spine, Vol. 26 (3), p. 307-309. ISSN 0362-2436. Article.

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Abstract

Study Design. Three cases of idiopathic epidural lipomatosis are reported. Objectives. Description of the relationship between spinal pathologic overgrowth of fat tissue and neurologic symptoms. Summary of Background Data. Idiopathic epidural lipomatosis is a very rare condition; it is usually secondary to chronic steroid therapy or endocrinopathic diseases. Methods. Three men with a mean age of 58.5 years, who experienced intermittent claudication, bilateral radicular pain in both legs, and urinary dysfunction with hypoesthesia in the perineal region, were evaluated by plain radiography and magnetic resonance imaging, the results of which demonstrated a pathologic overgrowth of fat tissue in the spinal canal with a marked impingement of the dural sac. Obesity, endocrinopathic diseases, and chronic steroid therapy were excluded for all patients. Surgical treatment was performed by wide multilevel laminectomies, fat debulking, and instrumented posterolateral fusion. Results. After surgery there was a gradual improvement in symptoms and signs so that 2 years later the patients returned to daily activities and were neurologically normal. Conclusions. Spinal epidural lipomatosis can be a cause of back pain but rarely radicular impingement. Magnetic resonance imaging is the procedure of choice. The treatment must be performed early by wide surgical decompression.

Item Type:Article
ID Code:185
Status:Published
Refereed:Yes
Uncontrolled Keywords:Lumbar spine, stenosis, lipomatosis, cauda equina, magnetic resonance, laminectomy, arthrodesis
Subjects:Area 06 - Scienze mediche > MED/33 Malattie apparato locomotore
Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Divisions:001 Università di Sassari > 03 Istituti > Scienze radiologiche
Publisher:Lippincott Williams & Wilkins
ISSN:0362-2436
Deposited On:18 Aug 2009 10:01

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