Idiopathic Spinal Epidural Lipomatosis: A Case Report
Spinal epidural lipomatosis (SEDL) is a rare disorder and is usually associated with long-term steroid administration. SEDL develops in some patients in the absence of elevated steroid levels. Limited information on idiopathic SEDL comes predominantly from isolated case reports. We report a case of...
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Published in | Orthopedics & Traumatology Vol. 58; no. 3; pp. 411 - 414 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | Japanese English |
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West-Japanese Society of Orthopedics & Traumatology
25.09.2009
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Abstract | Spinal epidural lipomatosis (SEDL) is a rare disorder and is usually associated with long-term steroid administration. SEDL develops in some patients in the absence of elevated steroid levels. Limited information on idiopathic SEDL comes predominantly from isolated case reports. We report a case of SEDL in a 70-year-old man presented with intermitted claudication. He was evaluated by myelography, computed tomography, and magnetic resonance imaging. Surgical treatment was performed by laminectomies and fat debulking. After surgery, he showed gradual improvement in symptoms and neurological conditions. |
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AbstractList | Spinal epidural lipomatosis (SEDL) is a rare disorder and is usually associated with long-term steroid administration. SEDL develops in some patients in the absence of elevated steroid levels. Limited information on idiopathic SEDL comes predominantly from isolated case reports. We report a case of SEDL in a 70-year-old man presented with intermitted claudication. He was evaluated by myelography, computed tomography, and magnetic resonance imaging. Surgical treatment was performed by laminectomies and fat debulking. After surgery, he showed gradual improvement in symptoms and neurological conditions. |
Author | Hanado, Shoji Kubo, Shinichiro Kaida, Hiroshi Hiyoshi, Masaru Kuroki, Hiroshi Yamaguchi, Shihoko Inomata, Naoki Chosa, Etsuo Hamanaka, Hideaki |
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References | 11) 奥田晃章 他:腰仙椎部硬膜外脂肪腫症の診断と手術成績.中部整災誌,50: 833-834, 2007. 14) 須田義朗 他:特発性脊椎硬膜外脂肪腫症の1例.臨整外,37(10): 1249-1251, 2002. 7) 釘崎 創 他:特発性硬膜外脂肪腫症の3例.整外と災外,52(2): 266-271, 2003. 4) Borstlap, A. C., et al.: Reversibility of lumbar epidural lipomatosis in obese patients after weight-reduction diet. Neuroradiology, 37: 670-673, 1995. 1) 安藤元郎 他:腰下肢痛を主体とした腰椎硬膜外脂肪腫症3例の経験.中部整災誌,46: 287-288, 2003. 5) Forgel, G.R., Cunningham, P. Y. 3rd, Esses, S. I.: Spinal epidural lipomatosis: case reports, literature review and meta-analysis. Spine, 5: 202-211, 2005. 2) Badami, J. P., et al.: Symptomatic deposition of epidural fat in a morbidly obese woman. Am. J. Neuroradiol., 3: 664-665, 1982. 9) Lee, M., et al.: Spinal cord compression by extradural fat after renal transplantation. Med. J. Aust., 1: 201-203, 1975. 8) Kuhn, M.J., et al.: Lumbar canal lipomatosis: the "Y" sign of the thecal sac compression. Comput. Med. Imaging Graph., 18: 367-372, 1994. 6) Ishikawa, Y., et al.: Decompression of idiopathic lumbar epidural lipomatosis: diagnostic magnetic resonance imaging evaluation and review of the literature. J. Neurosurg. Spine, 4: 24-30, 2006. 15) 田村 誠 他:長期観察し得た腰部硬膜外脂肪腫症の1例.関東整災誌,39: 54, 2008. 10) McCullen, G.M., Spurling, G.R., Webster, J. S.: Epidural lipomatosis complicating lumbar steroid injections. J. Spinal Disord., 12(6): 526-529, 1999. 12) Roy-Camille, R., et al.: Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment. Review of the literature and report of two additional cases. Spine, 16(12): 1365-1371, 1991. 16) 米倉 豊 他:硬膜外脂肪腫症と診断された5例の検討.日整会誌,77(3): S162, 2003. 3) Beges, C., et al.: Epidural lipomatosis. Interest of magnetic resonance imaging in a weight-reduction treated case. Spine, 19: 251-254, 1994. 13) Sandberg, D. I., Lavyne, M. H.: Symptomatic spinal epidural lipomatosis after local epidural corticosteroid injections: case report. Neurosurgery, 45(1): 162-165, 1999. 12 13 15 16 ANDO MOTOO (1) 2003; 46 OKUDA TERUAKI (11) 2007; 50 2 3 4 5 SUDA YOSHIO (14) 2002; 37 6 7 8 9 10 |
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Title | Idiopathic Spinal Epidural Lipomatosis: A Case Report |
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