Epidural lipomatosis with cauda equina syndrome in chronic alcoholic patient: A case report

Kim, Sung‐Soo; Lim, Dongwook

doi:10.1016/j.ijscr.2017.02.017

Cited by 6 publications

(3 citation statements)

References 23 publications

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“… 9 Kim S-S et al present a case discussion of a patient with chronic alcoholism and SEL, suggesting a possible link between chronic alcohol abuse, fat redistribution, Madelung’s disease, and the development of SEL. 10 However, that particular patient had no appreciable signs of Madelung’s disease.…”

Section: Discussionmentioning

confidence: 88%

Idiopathic Spinal Epidural Lipomatosis Causing Cauda Equina Syndrome

Bushkar

MenkinSmith

Krywko

2017

CPC-EM

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Spinal epidural lipomatosis (SEL) is a rare condition defined by the hypertrophy of adipose tissue in the spinal epidural space, often resulting in compression of nerves in the region affected.1 This case describes a 64-year-old man who presented with cauda equina syndrome. Magnetic resonance imaging of the spine revealed extensive SEL of the lumbar spine. He underwent decompression and fusion with subsequent improvement of symptoms. This is one of the few cases reported of lumbar SEL in a non-obese patient in absence of long-term corticosteroid usage. We review possible etiologies.

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Section: Discussionmentioning

confidence: 88%

Idiopathic Spinal Epidural Lipomatosis Causing Cauda Equina Syndrome

Bushkar

MenkinSmith

Krywko

2017

CPC-EM

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“…However, other manifestations have included radiculopathy, myelopathy, neurogenic claudication, dysesthetic pain, weakness in the limbs, and even cauda equina syndrome. 12 Reported etiologies of SEL have included exogenous steroid use, 13 endogenous steroid hormonal disease, 11,14 obesity, 15,16 prior surgery, 10,17 and idiopathic disease. 18 In addition, comorbidities such as hyperlipidemia, 19 acquired immunodeficiency syndrome, 20 Scheuermann kyphosis (SK), 21 and Paget's disease of bone 22 have been associated with SEL.…”

mentioning

confidence: 99%

“…However, other manifestations have included radiculopathy, myelopathy, neurogenic claudication, dysesthetic pain, weakness in the limbs, and even cauda equina syndrome. 12 …”

mentioning

confidence: 99%

Surgical management of thoracic myelopathy from long-segment epidural lipomatosis with skip hemilaminotomies: illustrative case

Neal

Patra

Lyons

2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Thoracic spinal epidural lipomatosis (SEL) involves the pathological overgrowth of histologically normal, unencapsulated adipose tissue that can compress the spinal cord and cause myelopathy. SEL has been associated with multiple medical conditions, including Scheuermann kyphosis (SK). Optimal treatment strategies for SEL, especially in the setting of a sagittal spinal deformity, remain unclear. OBSERVATIONS In this report, the authors discussed surgical management of a patient with thoracic SEL and SK using skip hemilaminotomies for resection of the epidural adipose tissue. To the authors’ knowledge, only one other report described a similar surgical technique in a patient who did not have a spinal deformity. LESSONS When conservative efforts fail, thoracic SEL may require surgical treatment. Surgical planning must account for co-medical conditions such as SK. The described approach involving skip laminotomies, which minimizes spine destabilization, is a viable option to treat SEL spanning multiple spinal segments. Prognosis after surgical treatment varies and is impacted by multiple factors, including severity of preoperative neurological deficits.

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