Epidural lipomatosis in steroid-treated patients.
Epidural lipomatosis is a condition in which excess adipose tissue is deposited circumferentially about the spinal cord in the epidural space. It is most frequently seen in patients on chronic steroid treatment for a variety of medical problems and can present as nonspecific back pain, radiculopathy, or frank spinal cord compression. Diagnosis and treatment have generally relied on multi-level decompressive laminectomy after myelography and computed tomography. The immunocompromised state and the reported postoperative mortality (22%) of these patients, however, suggests that nonoperative therapy may be preferable whenever possible. Five cases of epidural lipomatosis are reported, and previous literature is reviewed for presentation, evaluation, and treatment of this condition.
Fessler
R G
RG
Department of Neurological Surgery, University of Florida, College of Medicine, Gainesville.
Johnson
D L
DL
Brown
F D
FD
Erickson
R K
RK
Reid
S A
SA
Kranzler
L
L
D000328:Adult; D000368:Aged; D004824:Epidural Space; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy; D008068:Lipomatosis / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D009192:Myelography; D009408:Nerve Compression Syndromes / Q000209:etiology*; D011241:Prednisone / Q000009:adverse effects* / Q000627:therapeutic use; D013117:Spinal Cord Compression / Q000209:etiology; D013126:Spinal Nerve Roots
D011241:Prednisone