Lumbosacral epidural lipomatosis causing rapid onset cauda equina syndrome |
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| Affiliation: | 1. Division of Neurovascular Surgery and Endovascular Neurosurgery, Department of Neurosurgery, Thomas Jefferson University Hospital, 909 Walnut Street, Philadelphia, PA 19107, USA;2. Rancocas Valley Anesthesia, Cinnaminson, NJ, USA;1. Department of Neurological Surgery, Northwestern University McGaw Medical Center, 676 N. St. Clair Street, Suite 2210, Chicago, IL 60611, USA;2. Department of Pathology, Northwestern University McGaw Medical Center, Chicago, IL, USA;3. Department of Radiation Oncology, Northwestern University McGaw Medical Center, Chicago, IL, USA;1. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3584 CX Utrecht, Netherlands;1. Department of Neurological Surgery, Northwestern Memorial Hospital, 676 N. St. Clair, Suite 2210, Chicago, IL 60611, USA;2. Department of Orthopedic Surgery, Washington University in St. Louis, St. Louis, MO, USA;3. Department of Internal Medicine, Division of Cardiology, Northwestern Memorial Hospital, Chicago, IL, USA;4. Howell Allen Clinic, Nashville, TN, USA;5. Department of Anesthesiology, Northwestern Memorial Hospital, Chicago, IL, USA;1. Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan;2. Department of Stroke Care Unit, National Cerebral and Cardiovascular Center, Suita, Japan;3. Department of Neurology, Stroke Center, Kobe City General Hospital, Kobe, Japan;4. Department of Neurology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan;5. Department of Stroke Medicine, Kawasaki Medical School, Kurashiki, Japan;7. Department of Neurosurgery and Stroke Center, Nakamura Memorial Hospital, Sapporo, Japan;11. Department of Stroke Neurology, Kohnan Hospital, Sendai, Japan;12. Department of Neurology, St Marianna University School of Medicine, Kawasaki, Japan;8. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan;1. Department of Neurology, The Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan 410011, People’s Republic of China;2. Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China |
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| Abstract: | ![]()
Spinal epidural lipomatosis (SEL) is a rare cause of cauda equina syndrome (CES), which must be diagnosed with MRI in conjunction with a high level of clinical suspicion. Most reported cases are associated with obesity, steroid use or are secondary to endocrinopathies, frequently present subacutely or chronically, and have been managed with both surgical decompression and non-operative measures. We describe an obese 55-year-old man with rapid onset CES secondary to idiopathic lumbosacral SEL which was managed successfully with surgical decompression. Although often thought to be a trivial radiological finding, it is important not to be dismissive of patients presenting with compressive neuropathy and MRI evidence of space-occupying SEL. |
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| Keywords: | Cauda equina syndrome Epidural lipomatosis Surgery |
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