| Lumbar epidural lipomatosis causing neurogenic claudication in two obese patients. | |
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MedLine Citation:
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PMID: 7924088 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Two obese patients suffering from neurogenic claudication caused by lumbar epidural lipomatosis are described. Although lumbar epidural lipomatosis is most often related to prolonged use of steroid drugs, obesity has also been reported as a possible cause. Both CT and MRI can demonstrate excess epidural fat; because of the possibility of sagittal views MRI is to be preferred. In one of our patient with neurogenic claudication the excess epidural fat normalised completely after considerable weight reduction and symptoms resolved. Therefore weight reduction might be the initial therapy in an obese patient with symptomatic epidural lipomatosis. When weight reduction fails or when there are urgent clinical reasons, surgical removal of the excess amount of epidural fat should be considered. |
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Authors:
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W J van Rooij; A C Borstlap; L R Canta; C C Tijssen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical neurology and neurosurgery Volume: 96 ISSN: 0303-8467 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 1994 May |
Date Detail:
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Created Date: 1994-10-24 Completed Date: 1994-10-24 Revised Date: 2009-10-14 |
Medline Journal Info:
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Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 181-4 Citation Subset: IM |
Affiliation:
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Department of Neuroradiology, St. Elisabeth Hospital, Tilburg, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cauda Equina / surgery Combined Modality Therapy Diet, Reducing Epidural Space / surgery Humans Intermittent Claudication / etiology*, surgery Intervertebral Disk Displacement / surgery Lipomatosis / complications*, surgery Lumbar Vertebrae / surgery Magnetic Resonance Imaging Male Middle Aged Myelography Nerve Compression Syndromes / complications, surgery Neurologic Examination Obesity / complications* Postoperative Complications / etiology, surgery Spinal Diseases / complications*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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