medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2026, Number 1

<< Back Next >>

Acta Ortop Mex 2026; 40 (1)

Radiculopathy caused by epidural lipomatosis: case report

González-López C, Hermida-Ochoa E, Benavides-Rodríguez D, León-Rodríguez A
Full text How to cite this article 10.35366/122372

DOI

DOI: 10.35366/122372
URL: https://dx.doi.org/10.35366/122372

Language: Spanish
References: 14
Page: 40-43
PDF size: 655.18 Kb.


Key words:

lipomatosis, spinal, epidural, diagnosis.

ABSTRACT

Introduction: spinal epidural lipomatosis (SEL) is a rare condition that is present in the spinal cord and it shows as a radiculopathy, claudication, paresthesia, and weakness. It's prevalence ranges around 2.5% of all the spinal MRI studies. After doing some review of literature, we came to the conclusion that there is no enough information about SEL. Which are the main characteristics of SEL in our patient accordance to universal literature? Presentation of case: feminine of 31 years old with an onset of symptoms on October 2021 with electric pain on left pelvic member, EVA 7/10 without other symptoms. Follow by pain in sacrum ileal joint and sciatic path. She was treatment with rehabilitation sessions and etoricoxib plus pregabalin with partial release of symptoms. On December 2021 with increased of symptoms and management with infiltration with partial release of symptoms. As new symptom appears paresthesia of left thoracic member. On the magnetic resonance it shows a decrease in the medullary canal width cause by epidural lipomatosis. Conclusion: SEL is a rare disease with a low prevalence of difficult diagnoses given the low knowledge of the disease.


REFERENCES

  1. Mallard F, Buni M, Nolet PS, Emary P, Taylor JA, Moammer G. Lumbar spinal epidural lipomatosis: A case report and review of the literature. Int J Surg Case Rep. 2021; 78: 71-5.

  2. Buthiau D, Piette JC, Ducerveau MN, Robert G, Godeau P, Heitz F. Steroid-induced spinal epidural lipomatosis: CT survey. J Comput Assist Tomogr. 1988; 12(3): 501-3.

  3. Dawes B, Lo J, Byrne ST, Gonzalvo A, Wilde P. Symptomatic concurrent spinal epidural lipomatosis and spinal pathology. ANZ J Surg. 2017; 87(9): E98-9.

  4. Kuhn MJ, Youssef HT, Swan TL, Swenson LC. Lumbar epidural lipomatosis: the "Y" sign of thecal sac compression. Comput Med Imaging Graph. 1994; 18(5): 367-72.

  5. Pinkhardt EH, Sperfeld A, Bretschneider V, Unrath A, Ludolph AC, Kassubek J. Is spinal epidural lipomatosis an MRI?based diagnosis with clinical implications? A retrospective analysis. Acta Neurol Scand. 2008; 117(6): 409-14.

  6. Theyskens NC, Pereira NRP, Janssen SJ, Bono CM, Schwab JH, Cha TD. The prevalence of spinal epidural lipomatosis on magnetic resonance imaging. Spine J. 2017; 17(7): 969-76.

  7. Fogel GR, Cunningham III PY, Esses SI. Spinal epidural lipomatosis: case reports, literature review and meta-analysis. Spine J. 2005; 5(2): 202-11.

  8. Sugaya H, Tanaka T, Ogawa T, Mishima H. Spinal epidural lipomatosis in lumbar magnetic resonance imaging scans. Orthopedics. 2014; 37(4): e362-6.

  9. Borré DG, Borré GE, Aude F, Palmieri GN. Lumbosacral epidural lipomatosis: MRI grading. Eur Radiol. 2003; 13(7): 1709-21.

  10. Fassett DR, Schmidt MH. Spinal epidural lipomatosis: a review of its causes and recommendations for treatment. Neurosurg Focus. 2004; 16(4): 1-3.

  11. López-González A, Resurrección Giner M. Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case. Eur Spine J. 2008; 17(2): 225-7.

  12. Min WK, Oh CW, Jeon IH, Kim SY, Park BC. Decompression of idiopathic symptomatic epidural lipomatosis of the lumbar spine. Jt Bone Spine. 2007; 74(5): 488-90.

  13. Ferlic PW, Mannion AF, Jeszenszky D, Porchet F, Fekete TF, Kleinstuck F, et al. Patient-reported outcome of surgical treatment for lumbar spinal epidural lipomatosis. Spine J. 2016; 16(11): 1333-41.

  14. Al-Omari AA, Phukan RD, Leonard DA, Herzog TL, Wood KB, Bono CM. Idiopathic spinal epidural lipomatosis in the lumbar spine. Orthopedics. 2016; 39(3): 163-8.




Figure 1
Figure 2
Figure 3

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2026 Ene-Feb;40