Epidural lipomatosis

Case contributed by Dr Mauricio Macagnan

Presentation

Patient present with back pain. No trauma. Obesity.

Patient Data

Age: 65 years
Gender: Male
MRI

Epidural lipomatosis in the lumbosacral transition. T1 high signal, T1FS shows fat suppression. Degenerative disc disease.

Annotated image

The arrow indicates the compression of the spinal canal.
Resemble a "Y" shaped configuration.

Case Discussion

Spinal epidural lipomatosis can develop spontaneously or due to obesity as a result of disease and can cause compression of the spinal cord.

In this case the patient was likely cause obesity which resulted in the accumulation of epidural fat with consequent compression of the spinal canal.

The usual treatment is immediate laminectomy with the removal of epidural fat.

This case was kindly provided by Dr Rodrigo Dias Duarte.

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Case information

rID: 42993
Case created: 17th Feb 2016
Last edited: 5th Dec 2016
Inclusion in quiz mode: Excluded

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