Cauda Equina Syndrome Secondary to Idiopathic Spinal Epidural Lipomatosis

Lisai, P.; Doria, Carlo; Crissantu, Leonardo; Meloni, Giovanni Battista; Conti, Maurizio; Achene, A.

doi:10.1097/00007632-200102010-00017

Cited by 77 publications

(49 citation statements)

References 8 publications

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“…But the significant existence of obesity in advanced lipomatosis cases was not determined yet. Maillot et al [13] claimed that epidural lipomatosis can be especially found in cases with central adiposity, lipid metabolism abnormalities and insulin resistance in their case report. It is stated that central fat distribution is a common characteristic in all cases of epidural lipomatosis.…”

Section: Discussionmentioning

confidence: 94%

“…It is stated that central fat distribution is a common characteristic in all cases of epidural lipomatosis. The described obesity phenotype is also characteristic of Cushing disease or in long-term glucocorticoid treatment [13].…”

Section: Discussionmentioning

confidence: 97%

“…Borre et al [4] indicated that 86.6% of lipomatosis cases are obese (BMI [ 27.5). In the epidural lipomatosis cases that are seen with obesity, epidural fat can be reduced by low calorie diets [5,13]. But the significant existence of obesity in advanced lipomatosis cases was not determined yet.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, previous reports showed that obesity is unrelated to overall epidural fat [19]. Recently, a relationship between central (android) obesity and the occurrence of epidural lipomatosis was proposed the fact of the abnormal fat distribution [13]. As different from the recent studies, in this study, the relationship between epidural fat thickness and abdominal obesity was investigated.…”

Section: Introductionmentioning

confidence: 88%

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Does abdominal obesity cause increase in the amount of epidural fat?

2008

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It is known that epidural fat does not alter in obese people. This study aims to find out a possible relationship with epidural fat and abdominal obesity. In this cross-sectional study, 63 patients who were referred to our clinic for lumbar magnetic resonance imaging (MRI) examination were evaluated. Patients with the history of steroid treatment, thyroid disease or Cushing disease were excluded. Waist circumferences (WC), body weight and height were measured and subsequently body-mass index (BMI) was calculated (kg/m 2 ). On midsagittal T1-weighted images, anterior epidural fat (AEF), posterior epidural fat (PEF) and posterior subcutaneous fat (SCF) thicknesses were measured at the S1 level. The results were compared with age, gender, body weight, height, WC and BMI. There were 31 men and 32 women, age ranged 19-77 years (mean 49). The mean BMI was 29.25 kg/m 2 (20.7-52.7); the mean WC was 97.4 ± 13.2 cm (72-122) in women and 97.6 ± 9.8 cm (72-118) in men. Cutoff value of WC was considered as 88 cm for women and 95 cm for men. BMI [ 27.5 was considered to be obese. No statistical difference with respect to epidural fat thickness between genders was determined in AEF and PEF (P = 0.237, P = 0.616). SCF was significantly thicker in women (P = 0.021). A very poor and negative correlation was found between age and PEF (r = 0.373, P = 0.003), and a very poor and positive correlation between weight and PEF was found (r = 396, P = 0.001). The thickness of the epidural fat was not differ between obese and nonobese people (p = 0.571 for AEF and p = 0.307 for PEF). The thickness of the epidural fat was not different in people whose WC was greater than normal values in both gender (p [ 0.05). Epidural fat is not affected by age, gender, BMI and WC which means that epidural fatty layer. A clear correlation has not been found between epidural fat amount and obesity or abnormal fat distribution yet.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 88%

See 2 more Smart Citations

Does abdominal obesity cause increase in the amount of epidural fat?

2008

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show abstract

“…The symptoms of epidural lipomatosis are not specific and usually include low back pain, sometimes associated with neurological signs, i.e. radicular pain and cauda equina syndrome [7]. Radicular claudication in our patient was confused with signs of arteriopathy, which might have delayed diagnosis.…”

Section: Discussionmentioning

confidence: 70%