Document Detail


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
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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

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