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.
Citow
J S
JS
Sections of Neurosurgery at the University of Chicago Medical Center and Illinois Masonic Hospital, USA.
Kranzler
L
L
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