Thoracic epidural lipomatosis with associated syrinx: case report.
A 54-year-old black male with a 15-year history progressive lower extremity weakness was evaluated with a thoracic MRI that revealed epidural lipomatosis extending from T1-T10 with an associated syrinx at T1-3. He was neither overweight nor taking steroids. A multilevel thoracic laminectomy with resection of lipoma was performed without directly addressing the syrinx. Postoperatively, his symptoms improved and an MRI obtained 1 year after surgery demonstrated resolution of the syrinx. This is the only case of epidural lipomatosis with an associated syrinx that we have seen reported in the world literature.
Sections of Neurosurgery at the University of Chicago Medical Center and Illinois Masonic Hospital, USA.
J S
JS
Citow
L
L
Kranzler
D004824:Epidural Space / Q000473:pathology; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008068:Lipomatosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013595:Syringomyelia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013896:Thoracic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery