Spinal epidural lipomatosis: a review of its causes and recommendations for treatment.

Abstract:

:Spinal epidural lipomatosis is most commonly observed in patients receiving long-term exogenous steroid therapy, but can also be seen in patients with endogenous steroid overproduction, obesity, or idiopathic disease. With this condition, there is hypertrophy of the epidural adipose tissue, causing a narrowing of the spinal canal and compression of neural structures. A majority of patients will present with progressive myelopathy, but radicular symptoms are also common. Conservative treatment--weaning from steroids or weight loss--can reverse the hypertrophy of the adipose tissue and relieve the neural compression. If conservative management fails, surgery with decompressive laminectomy is also very successful at improving the patient's neurological symptoms.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Fassett DR,Schmidt MH

subject

Has Abstract

pub_date

2004-04-15 00:00:00

pages

E11

issue

4

issn

1092-0684

pii

160411

journal_volume

16

pub_type

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