alexa Idiopathic Lumbar Epidural Lipomatosis | OMICS International | Abstract
ISSN: 2165-7939

Journal of Spine
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Case Report

Idiopathic Lumbar Epidural Lipomatosis

Katsuhiro Tofuku*
Department of Orthopaedic Surgery, Naruo Orthopedic Hospital, Japan
Corresponding Author : Katsuhiro Tofuku
Department of Orthopaedic Surgery
Naruo Orthopedic Hospital, 12-24 Okadamachi
Chuoku, Kumamoto 862-0958, Japan
Tel: +81-96-371-1188
Fax: +81-96-372-2444
E-mail: [email protected]
Received November 07, 2014; Accepted November 12, 2014; Published November 14, 2014
Citation: Tofuku K (2014) Idiopathic Lumbar Epidural Lipomatosis. J Spine 3:189. doi:10.4172/2165-7939.1000189
Copyright: © 2014 Tofuku K. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We present two cases of idiopathic spinal epidural lipomatosis. Case 1: A 77-year-old man experienced tightness in bilateral lower extremities and neurogenic claudication for 1 year. He was overweight with a body mass index of 30.8 kg/m2. Magnetic resonance imaging revealed extensive epidural lipomatosis of lumobsacral spine with significant constrictive compression of the thecal sac. Case 2: A 78-year-old man presented with low back pain along with progressive pain and numbness in the left lower extremity and neurogenic claudication for 6 months. He was diabetic with body mass index of 25.6 kg/m2. Magnetic resonance imaging demonstrated circumferential compression of the thecal sac due to increased epidural fat tissue at the L4 level. We suggest that spinal epidural lipomatosis should be considered in the differential diagnoses when patients with neurological symptoms have conditions relating to hyperinsulinism such as obesity and exogenous steroid administration

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