| Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case. | |
| | |
MedLine Citation:
|
PMID: 17876611 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Symptomatic spinal epidural lipomatosis (SEL) is very rare and frequently associated to chronic exogenous steroid use, obesity and Cushing syndrome. The idiopathic cases where no identifiable association with SEL are found constitute only 17% of all cases. The usual clinical manifestations of this entity consist of dorsal or lumbar pain with paresthesias and weakness in lower limbs, but acute symptoms of myelopathy are exceptional. We report a case of acute paraparesis and urinary retention caused by thoracic SEL in a 55-year-old male who did not have any recognized predisposing factor for this condition. Urgent surgical decompression was performed in order to relieve the symptoms. Slow but progressive improvement was assessed after surgery. We consider this case to be exceptional due to the needing to perform an urgent decompressive laminectomy to treat a rapidly progressive myelopathy caused by idiopathic SEL. |
| | |
Authors:
|
A López-González; M Resurrección Giner |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2007-09-18 |
Journal Detail:
|
Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: 17 Suppl 2 ISSN: 1432-0932 ISO Abbreviation: Eur Spine J Publication Date: 2008 Sep |
Date Detail:
|
Created Date: 2008-08-28 Completed Date: 2009-01-16 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: Germany |
Other Details:
|
Languages: eng Pagination: S225-7 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Hospital Universitario La Fe, Avenida Campanar, 21, 46009, Valencia, Spain. anlopez@comv.es |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adipose Tissue
/
pathology,
physiopathology Decompression, Surgical Dura Mater / pathology, surgery Epidural Space / pathology*, physiopathology Humans Laminectomy Lipomatosis / complications*, pathology*, physiopathology Magnetic Resonance Imaging Male Middle Aged Paraparesis / etiology Sensation Disorders / etiology Spinal Canal / pathology*, physiopathology Spinal Cord Compression / etiology*, pathology*, physiopathology Thoracic Vertebrae / surgery Treatment Outcome Urinary Incontinence / etiology |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Quality of life of women treated with radiotherapy for breast cancer.
Next Document: Oral health status of 207 head and neck cancer patients before, during and after radiotherapy.