Management of idiopathic spinal epidural lipomatosis: a case report and review of the literature
| Autor: | Demetrios Nikas, Sajeel Khan, Steven Denyer, Ankit I. Mehta, Abhiraj D. Bhimani, Darian R. Esfahani, Steven Papastefan |
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| Rok vydání: | 2017 |
| Předmět: |
Epidural Space
medicine.medical_specialty Nerve root Lipomatosis medicine.medical_treatment Laminoplasty 03 medical and health sciences Myelopathy 0302 clinical medicine Spinal cord compression medicine Humans 030212 general & internal medicine Child business.industry Disease Management General Medicine Lipoma medicine.disease Spinal cord Magnetic Resonance Imaging Epidural space Surgery medicine.anatomical_structure Adipose Tissue Spinal Cord Pediatrics Perinatology and Child Health Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Child's Nervous System. 34:757-763 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-017-3706-5 |
| Popis: | Spinal epidural lipomatosis (SEL) is a rare pathologic growth of histologically normal unencapsulated adipose tissue in the epidural space. Although rare, SEL can compress the spinal cord or nerve roots causing myelopathy or radiculopathy. While SEL has been associated with long-term exposure to endogenous or exogenous steroids and obesity, idiopathic forms of SEL are much rarer. In this report, we present the first case of SEL isolated to the cervical region compressing the spinal cord in a healthy, non-obese, preadolescent patient. Idiopathic SEL in the pediatric population is a rare entity. This is the first case of epidural lipomatosis isolated to the cervical region in an adult or child patient. In refractory, symptomatic cases of idiopathic SEL, surgical decompression is often required. |
| Databáze: | OpenAIRE |
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