Symptomatic spinal epidural lipomatosis after a single local epidural steroid injection.
Spinal epidural lipomatosis is a rare disorder that can manifest with progressive neurological deficits. It is characterized by abnormal accumulation of unencapsulated epidural fat commonly associated with the administration of exogenous steroids associated with a variety of systemic diseases, endocrinopathies, and Cushing syndrome (Fogel et al. Spine J 5:202-211, 2005). Occasionally, spinal epidural lipomatosis may occur in patients not exposed to steroids or in patients with endocrinopathies, primarily in obese individuals (Fogel et al. Spine J 5:202-211, 2005). However, spinal lumbar epidural lipomatosis resulting from local steroid injection has rarely been reported. We report the case of a 45-year-old diabetic man with claudication that was probably due to symptomatic lumbar spinal lipomatosis resulting from a single local epidural steroid injection.
Tok
Chung Hong
CH
Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, Jalan Universiti, Lembah Pantai, 50603 Kuala Lumpur, Malaysia. rogertok@gmail.com
Kaur
Shaleen
S
Gangi
Afshin
A
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D019299:Decompression, Surgical; D004824:Epidural Space; D005500:Follow-Up Studies; D006801:Humans; D007268:Injections, Epidural; D007405:Intervertebral Disc Displacement / Q000188:drug therapy*; D007796:Laminectomy; D008068:Lipomatosis / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000188:drug therapy*; D013117:Spinal Cord Compression / Q000139:chemically induced* / Q000175:diagnosis; D013126:Spinal Nerve Roots; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects*
D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide