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Epidural lipomatosis

Case contributed by Laughlin Dawes
Diagnosis certain

Presentation

Progressive weakness of the legs and tingling sensation. This was attributed to his long-standing diabetes.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

Evidence of extensive epidural fat infiltration which is hyperintense on both T1W and T2W. There is also associated chronic fatty atrophy of back muscles. The cord and cauda equina are compressed anteriorly by the epidural lipomatosis, with complete effacement of CSF. There are mild posterior disc herniations at several levels which may be contributing to the compressive myelopathy.

Case Discussion

Case credit: Dr Abhijit Datir

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