Spinal epidural lipomatosis due to obesity presenting with back and leg pain and weakness successfully treated with weight loss

Yasunori Nagahama; Marshall T. Holland; Patrick W. Hitchon

doi:10.1016/j.inat.2019.03.003

Back

Journal article

Open access

Peer reviewed

Spinal epidural lipomatosis due to obesity presenting with back and leg pain and weakness successfully treated with weight loss

Yasunori Nagahama, Marshall T. Holland and Patrick W. Hitchon

Interdisciplinary neurosurgery : Advanced techniques and case management, Vol.18, p.100449

12/01/2019

DOI: 10.1016/j.inat.2019.03.003

Files and links (1)

url

https://doi.org/10.1016/j.inat.2019.03.003View

Published (Version of record) Open Access

Abstract

Spinal Epidural Lipomatosis (SEL) is an uncommon but previously characterized ailment typified by excessive overgrowth epidural adipose tissue. This overgrowth may lead to compression of local tissue including the underlying thecal space and nervous tissues. Common causes are medication induced (particularly glucocorticoid administration) and obesity. Prompt recognition of the diagnosis and initiation of treatment, be it medication stoppage or surgical decompression is imperative. In this report we describe the case of a 51-year-old female who presented with back and leg pain. She was diagnosed with SEL due to obesity with noted compression of the underlying nervous tissue noted on MRI. The patient was successfully treated with a course of weight loss with remarkable clinical and noted resolution of thecal sac compression on follow up MRI. Early consideration of this entity can increase the likelihood of timely diagnosis and successful treatment.

Clinical Neurology

Life Sciences & Biomedicine

Neurosciences & Neurology

Science & Technology

Details

Title: Subtitle: Spinal epidural lipomatosis due to obesity presenting with back and leg pain and weakness successfully treated with weight loss
Creators: Yasunori Nagahama - University of Iowa
Marshall T. Holland - University of Iowa Hospitals and Clinics
Patrick W. Hitchon - University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: Interdisciplinary neurosurgery : Advanced techniques and case management, Vol.18, p.100449
DOI: 10.1016/j.inat.2019.03.003
ISSN: 2214-7519
eISSN: 2214-7519
Publisher: Elsevier
Number of pages: 3
Language: English
Date published: 12/01/2019
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Neurosurgery
Record Identifier: 9984303907302771

Metrics

25 Record Views