Lumbosacral epidural lipomatosis causing rapid onset cauda equina syndrome
| Autor: | Simon J.I. Sandler, Adam J. Wells, Nikitas J. Vrodos, Matthew J. McDonald |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Epidural Space Male medicine.medical_specialty Lipomatosis Cauda equina syndrome Surgical decompression Physiology (medical) medicine Humans Polyradiculopathy business.industry General Medicine Middle Aged medicine.disease Decompression Surgical Magnetic Resonance Imaging Surgery Epidural lipomatosis Spinal epidural Neurology Steroid use Rapid onset Neurology (clinical) business Lumbosacral joint |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 21(7) |
| ISSN: | 1532-2653 |
| Popis: | Spinal epidural lipomatosis (SEL) is a rare cause of cauda equina syndrome (CES), which must be diagnosed with MRI in conjunction with a high level of clinical suspicion. Most reported cases are associated with obesity, steroid use or are secondary to endocrinopathies, frequently present subacutely or chronically, and have been managed with both surgical decompression and non-operative measures. We describe an obese 55-year-old man with rapid onset CES secondary to idiopathic lumbosacral SEL which was managed successfully with surgical decompression. Although often thought to be a trivial radiological finding, it is important not to be dismissive of patients presenting with compressive neuropathy and MRI evidence of space-occupying SEL. |
| Databáze: | OpenAIRE |
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