Document Detail

Cauda equina compression by epidural lipomatosis in obesity. Effectiveness of weight reduction.
MedLine Citation:
PMID:  8523361     Owner:  NLM     Status:  MEDLINE    
Epidural lipomatosis (EL) is characterized by abnormal accumulation of unencapsulated fat in the epidural space, and usually occurs as a complication of longterm steroid therapy. This condition, which may result in devastating neurologic complications, has also been reported without exogenous steroid intake. We describe a case of nonsteroid induced symptomatic EL associated with obesity, and emphasize the possibility of effective medical management of this entity with weight reduction instead of decompressive laminectomy whenever neurologic symptoms are mild and stable.
J Pouchot; C Si-Hassen; R Damade; M C Bayeux; A Mathieu; P Vinceneux
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  22     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-01-22     Completed Date:  1996-01-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1771-5     Citation Subset:  IM    
Department of Médecine Interne, Hôpital Louis Mourier, Université Paris VII, Colombes, France.
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MeSH Terms
Cauda Equina*
Epidural Space*
Lipomatosis / complications*,  radiography,  therapy
Middle Aged
Nerve Compression Syndromes / etiology*,  radiography
Obesity / complications*

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