Skip to main content
Top
Published in: European Spine Journal 4/2012

01-06-2012 | Case Report

Rapid progression of spinal epidural lipomatosis

Authors: Kyung-Chul Choi, Byung-Uk Kang, Choon Dae Lee, Sang-Ho Lee

Published in: European Spine Journal | Special Issue 4/2012

Login to get access

Abstract

Spinal epidural lipomatosis (SEL) is a rare but well-recognized condition. In general, the onset of its symptoms is insidious and the disease progresses slowly. We report two cases of rapid progression of SEL with no history of steroid intake in non-obese individuals after epidural steroid injection. These SEL patients developed neurologic symptoms after less than 5 months; these symptoms were confirmed to be due to SEL by serial MR images. After the debulking of the epidural fat, their symptoms improved.
Literature
1.
go back to reference Fogel GR, Cunningham PY 3rd, Esses SI (2005) Spinal epidural lipomatosis: case reports, literature review and meta-analysis. Spine J 5:202–211PubMedCrossRef Fogel GR, Cunningham PY 3rd, Esses SI (2005) Spinal epidural lipomatosis: case reports, literature review and meta-analysis. Spine J 5:202–211PubMedCrossRef
2.
go back to reference Chapman PH, Martuza RL, Poletti CE, Karchmer AW (1981) Symptomatic spinal epidural lipomatosis associated with Cushing’s syndrome. Neurosurgery 8:724–727PubMedCrossRef Chapman PH, Martuza RL, Poletti CE, Karchmer AW (1981) Symptomatic spinal epidural lipomatosis associated with Cushing’s syndrome. Neurosurgery 8:724–727PubMedCrossRef
5.
go back to reference Lee M, Lekias J, Gubbay SS, Hurst PE (1975) Spinal cord compression by extradural fat after renal transplantation. Med J Aust 1:201–203PubMed Lee M, Lekias J, Gubbay SS, Hurst PE (1975) Spinal cord compression by extradural fat after renal transplantation. Med J Aust 1:201–203PubMed
6.
go back to reference Fassett DR, Schmidt MH (2004) Spinal epidural lipomatosis: a review of its causes and recommendations for treatment. Neurosurg Focus 16:E11. pii160411 Fassett DR, Schmidt MH (2004) Spinal epidural lipomatosis: a review of its causes and recommendations for treatment. Neurosurg Focus 16:E11. pii160411
8.
go back to reference Akhaddar A, Ennouali H, Gazzaz M, Naama O, Elmostarchid B, Boucetta M (2008) Idiopathic spinal epidural lipomatosis without obesity: a case with relapsing and remitting course. Spinal Cord 46:243–244. doi:10.1038/sj.sc.3102099 Akhaddar A, Ennouali H, Gazzaz M, Naama O, Elmostarchid B, Boucetta M (2008) Idiopathic spinal epidural lipomatosis without obesity: a case with relapsing and remitting course. Spinal Cord 46:243–244. doi:10.​1038/​sj.​sc.​3102099
9.
go back to reference Lopez-Gonzalez A, Resurreccion Giner M (2008) Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case. Eur Spine J 17(Suppl 2):S225–227. doi:10.1007/s00586-007-0465-0 Lopez-Gonzalez A, Resurreccion Giner M (2008) Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case. Eur Spine J 17(Suppl 2):S225–227. doi:10.​1007/​s00586-007-0465-0
10.
11.
go back to reference Russell NA, Belanger G, Benoit BG, Latter DN, Finestone DL, Armstrong GW (1984) Spinal epidural lipomatosis: a complication of glucocorticoid therapy. Can J Neurol Sci 11:383–386PubMed Russell NA, Belanger G, Benoit BG, Latter DN, Finestone DL, Armstrong GW (1984) Spinal epidural lipomatosis: a complication of glucocorticoid therapy. Can J Neurol Sci 11:383–386PubMed
12.
go back to reference Pouchot J, Si-Hassen C, Damade R, Bayeux MC, Mathieu A, Vinceneux P (1995) Cauda equina compression by epidural lipomatosis in obesity. Effectiveness of weight reduction. J Rheumatol 22:1771–1775PubMed Pouchot J, Si-Hassen C, Damade R, Bayeux MC, Mathieu A, Vinceneux P (1995) Cauda equina compression by epidural lipomatosis in obesity. Effectiveness of weight reduction. J Rheumatol 22:1771–1775PubMed
13.
go back to reference Roy-Camille R, Mazel C, Husson JL, Saillant G (1991) Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment. Review of the literature and report of two additional cases. Spine (Phila Pa 1976) 16:1365–1371 Roy-Camille R, Mazel C, Husson JL, Saillant G (1991) Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment. Review of the literature and report of two additional cases. Spine (Phila Pa 1976) 16:1365–1371
14.
go back to reference Kim HS, Han IH, Lee JH, Choi BK (2009) Symptomatic spinal epidural lipomatosis induced by repeated epidural steroid injections. Korean J Spine 6:218–220 Kim HS, Han IH, Lee JH, Choi BK (2009) Symptomatic spinal epidural lipomatosis induced by repeated epidural steroid injections. Korean J Spine 6:218–220
15.
go back to reference McCullen GM, Spurling GR, Webster JS (1999) Epidural lipomatosis complicating lumbar steroid injections. J Spinal Disord 12:526–529PubMedCrossRef McCullen GM, Spurling GR, Webster JS (1999) Epidural lipomatosis complicating lumbar steroid injections. J Spinal Disord 12:526–529PubMedCrossRef
16.
go back to reference Sandberg DI, Lavyne MH (1999) Symptomatic spinal epidural lipomatosis after local epidural corticosteroid injections: case report. Neurosurgery 45:162–165PubMedCrossRef Sandberg DI, Lavyne MH (1999) Symptomatic spinal epidural lipomatosis after local epidural corticosteroid injections: case report. Neurosurgery 45:162–165PubMedCrossRef
17.
18.
go back to reference Emkey RD, Lindsay R, Lyssy J, Weisberg JS, Dempster DW, Shen V (1996) The systemic effect of intraarticular administration of corticosteroid on markers of bone formation and bone resorption in patients with rheumatoid arthritis. Arthritis Rheum 39:277–282PubMedCrossRef Emkey RD, Lindsay R, Lyssy J, Weisberg JS, Dempster DW, Shen V (1996) The systemic effect of intraarticular administration of corticosteroid on markers of bone formation and bone resorption in patients with rheumatoid arthritis. Arthritis Rheum 39:277–282PubMedCrossRef
19.
go back to reference Younes M, Neffati F, Touzi M, Hassen-Zrour S, Fendri Y, Bejia I, Ben Amor A, Bergaoui N, Najjar MF (2007) Systemic effects of epidural and intra-articular glucocorticoid injections in diabetic and non-diabetic patients. Joint Bone Spine 74:472–476. doi:10.1016/j.jbspin.2006.10.009 PubMedCrossRef Younes M, Neffati F, Touzi M, Hassen-Zrour S, Fendri Y, Bejia I, Ben Amor A, Bergaoui N, Najjar MF (2007) Systemic effects of epidural and intra-articular glucocorticoid injections in diabetic and non-diabetic patients. Joint Bone Spine 74:472–476. doi:10.​1016/​j.​jbspin.​2006.​10.​009 PubMedCrossRef
Metadata
Title
Rapid progression of spinal epidural lipomatosis
Authors
Kyung-Chul Choi
Byung-Uk Kang
Choon Dae Lee
Sang-Ho Lee
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 4/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-011-1855-x

Other articles of this Special Issue 4/2012

European Spine Journal 4/2012 Go to the issue