Search engine for discovering works of Art, research articles, and books related to Art and Culture
Javascript must be enabled to continue!
Epidural lipomatosis in elderly patient: A rare cause of cauda equina compression
View through CrossRef
Background:
The most common cause of cauda equina compression in the elderly is lumbar spinal stenosis. Epidural lipomatosis is an additional known but rare cause of cauda equina compression readily diagnosed on MR studies. Notably, spinal canal decompression and direct excision of the epidural fat effectively manage this combined pathology.
Case Description:
A 70-year-old male presented with progressive truncal obesity associated with refractory lumbar neurogenic claudication. The lumbar magnetic resonance imaging (MRI) showed excessive epidural fat extending from L4 to S2 resulting in thecal sac compression; this was confirmed on the MRI myelogram study. Following a decompressive laminectomy, the patient’s cauda equina syndrome resolved.
Conclusion:
Recent weight gain with increased neurogenic claudication and the onset of a cauda equina syndrome may herald the presence of significant lumbar epidural lipomatosis. Here, laminectomy for excision of the excessive epidural fat resolved the patient’s symptomatic spinal stenosis.
Title: Epidural lipomatosis in elderly patient: A rare cause of cauda equina compression
Description:
Background:
The most common cause of cauda equina compression in the elderly is lumbar spinal stenosis.
Epidural lipomatosis is an additional known but rare cause of cauda equina compression readily diagnosed on MR studies.
Notably, spinal canal decompression and direct excision of the epidural fat effectively manage this combined pathology.
Case Description:
A 70-year-old male presented with progressive truncal obesity associated with refractory lumbar neurogenic claudication.
The lumbar magnetic resonance imaging (MRI) showed excessive epidural fat extending from L4 to S2 resulting in thecal sac compression; this was confirmed on the MRI myelogram study.
Following a decompressive laminectomy, the patient’s cauda equina syndrome resolved.
Conclusion:
Recent weight gain with increased neurogenic claudication and the onset of a cauda equina syndrome may herald the presence of significant lumbar epidural lipomatosis.
Here, laminectomy for excision of the excessive epidural fat resolved the patient’s symptomatic spinal stenosis.
Related Results
Autonomy on Trial
Autonomy on Trial
Photo by CHUTTERSNAP on Unsplash
Abstract
This paper critically examines how US bioethics and health law conceptualize patient autonomy, contrasting the rights-based, individualist...
Post-operative Microdiscectomy Complicated by Lumbar Epidural Hematoma with Cauda equina Syndrome Following Dual Viral Infection: A Rare Case Report and Its Management
Post-operative Microdiscectomy Complicated by Lumbar Epidural Hematoma with Cauda equina Syndrome Following Dual Viral Infection: A Rare Case Report and Its Management
Introduction: Spontaneous spinal hemorrhage in dengue fever is extremely rare. We report a case of post-operative microdiscectomy complicated by delayed (>72 h) spontaneous lumb...
Patient with Suspected Cauda Equina Syndrome
Patient with Suspected Cauda Equina Syndrome
Cauda equina syndrome is the clinical syndrome seen when there is acute compression of the cauda equina nerve roots and is a rare neurosurgical emergency. The approximate incidence...
Differential Diagnosis of Neurogenic Thoracic Outlet Syndrome: A Review
Differential Diagnosis of Neurogenic Thoracic Outlet Syndrome: A Review
Abstract
Thoracic outlet syndrome (TOS) is a complex and often overlooked condition caused by the compression of neurovascular structures as they pass through the thoracic outlet. ...
A CASE REPORT ON LONG TERM COMPLICATIONS OF CAUDA EQUINA SYNDROME
A CASE REPORT ON LONG TERM COMPLICATIONS OF CAUDA EQUINA SYNDROME
Cauda Equina Syndrome (CES) is a rare emergency condition where the ends of the spinal cord, specically, the lumbar and sacral spinal nerves get
congested mostly due to disc herni...
Pathology of Synovial Lipomatosis and its Clinical Significance
Pathology of Synovial Lipomatosis and its Clinical Significance
ABSTRACT
Background: Synovial lipomatosis is a rare disorder of the synovium, commonly affecting the knee joint, resulting in joint pain, swelling, and effusion. The etio...
PREVALENCE OF EPIDURAL HEMATOMA FOLLOWING CERVICAL EPIDURAL
INJECTIONS IN INTERVENTIONAL PAIN MANAGEMENT SETTINGS: LITERATURE
REVIEW WITH TWO CASE REPORTS
PREVALENCE OF EPIDURAL HEMATOMA FOLLOWING CERVICAL EPIDURAL
INJECTIONS IN INTERVENTIONAL PAIN MANAGEMENT SETTINGS: LITERATURE
REVIEW WITH TWO CASE REPORTS
Epidural injections are performed frequently in
managing chronic neck pain secondary to disc
herniation, spinal stenosis, discogenic pain, and
post cervical surgery syndrome. Major...
Isolated late intradural cauda equina metastasis of renal cell carcinoma
Isolated late intradural cauda equina metastasis of renal cell carcinoma
Background:
The cauda equina (CE) is the most common site for intradural extramedullary metastasis from systemic malignancies such as lung, breast, and thyroid carcinomas. However...