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Pediatric Radiology
Published in: Pediatric Radiology 9/2003

01-09-2003 | Case Report

Epidural, paraspinal, and subcutaneous lipomatosis

Author: R. Nuri Sener

Published in: Pediatric Radiology | Issue 9/2003

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Abstract

A unique case of idiopathic diffuse lipomatosis is reported. The patient was an 11-year-old boy with diffuse lipomatosis in the epidural space, paraspinal muscles, and thoracolumbar subcutaneous regions. Epidural lipomatosis involved the entire thoracolumbar spine and was associated with filar thickening and lipoma. In addition, paraspinal muscles, especially the erector spinae group, had diffuse fatty infiltration. The ultimate clinical effect of this fatty tissue was urinary dysfunction, radicular pain and hypoesthesia in both legs and difficulty walking.
Literature
1.
Coode PE, McGuinness FE, Rawas MM, et al (1991) Diffuse lipomatosis involving the thoracic and abdominal wall: CT features. J Comput Assist Tomogr 15:341–343PubMed
2.
Hogg JP, Shank T, Gingold M, et al (1996) Childhood presentation of idiopathic epidural lipomatosis: a case report with magnetic resonance imaging and pathologic confirmation. J Child Neurol 11:236–240PubMed
3.
Lisai P, Doria C, Crissantu L, et al (2001) Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis. Spine 26:307–309PubMed
4.
Munoz A, Barkovich JA, Mateos F, et al (2002) Symptomatic epidural lipomatosis of the spinal cord in a child: MR demonstration of spinal cord injury. Pediatr Radiol 32:865–868CrossRefPubMed
5.
Ohta Y, Hayashi T, Sasaki C, et al (2002) Cauda equina syndrome caused by idiopathic sacral epidural lipomatosis. Intern Med 41:593–594PubMed
Metadata
Title
Epidural, paraspinal, and subcutaneous lipomatosis
Author
R. Nuri Sener
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 9/2003
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-0977-7

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