[Spinal cord compression caused by idiopathic dorsal epidural lipomatosis: Case report and critical review of the literature].
We report the case of a patient with spinal cord compression evolving over 36 months with spastic paraparesis. Anatomic imagery showed epidural lipomatosis. No predisposing factors were found. Surgical treatment was decided. A T1-T10 laminectomy with excision of the surplus epidural fat was performed. Immediate and medium-term postsurgical follow-up was favorable with the disappearance of the pyramidal syndrome. Other cases found in literature and the principal predisposing factors are discussed.
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Service de neurochirurgie, hôpital Maison-Blanche, 45, rue Cognacq-Jay, 51092 Reims, France.
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Duntze
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Theret
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Noudel
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Graftieaux
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JP
Rousseaux
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D004824:Epidural Space / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008068:Lipomatosis / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery