Thoracic epidural lipomatosis associated with syrinx: A case report
Autor: | John D. Leever, Manasi Arora |
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Rok vydání: | 2020 |
Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Cord Spinal stenosis lcsh:R895-920 Lipomatosis Syrinx Urinary incontinence 030218 nuclear medicine & medical imaging 03 medical and health sciences Myelopathy 0302 clinical medicine Case report medicine Radiology Nuclear Medicine and imaging Syrinx (medicine) business.industry Epidural lipomatosis respiratory system medicine.disease Symptomatic relief Surgery Neuroradiology Spinal decompression medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 15, Iss 5, Pp 528-530 (2020) |
ISSN: | 1930-0433 |
Popis: | Epidural lipomatosis with associated syrinx formation is an exceedingly rare clinical entity. In this case report we present a 48-year old female who initially presented with symptoms of progressive myelopathy and later developed urinary incontinence. Her imaging studies showed upper thoracic epidural lipomatosis and associated spinal stenosis, cord compression and a mildly expansile right paracentral syrinx at C7-T1. She underwent a decompression surgery which provided her with partial symptomatic relief. On MRI, there was a mild decrease in the size of syrinx and some improvement in the degree of spinal stenosis. However, the subsequent clinical improvement supported the possibility that spinal compression caused by epidural lipomatosis could have resulted in syrinx formation. Therefore, such cases can be appropriately treated with spinal decompression surgeries or syrinx shunting procedures. Keywords: Case report, Epidural lipomatosis, Syrinx |
Databáze: | OpenAIRE |
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