Spinal epidural lipomatosis
On gabapentin treatment for chronic (neuropathic?) back pain. "CT-proven" lumbar discopathy according to patient. Difficulty walking for past day, describes bilateral leg weakness.
Physical examination remarkable for a slightly wide based gait and mildly decreased anal sphincter tone.
CT lumbar spine showed a proliferation of epidural fat enveloping and compressing the thecal sac, which could explain the chronic back pain and perhaps the new mild symptoms as well.
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