Cauda Equina Syndrome Caused by Idiopathic Epidural Lipomatosis.
10.14245/kjs.2015.12.4.272
- Author:
Yun Seong KIM
1
;
Chang Il JU
;
Seok Won KIM
;
Hyeun Sung KIM
Author Information
1. Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Cauda equina syndrome;
Epidural;
Lipomatosis
- MeSH:
Back Pain;
Cauda Equina*;
Decompression;
Emergency Service, Hospital;
Humans;
Laminectomy;
Lipomatosis*;
Low Back Pain;
Neurologic Manifestations;
Polyradiculopathy*;
Young Adult
- From:Korean Journal of Spine
2015;12(4):272-274
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal epidural lipomatosis (SEL) is a rare condition that presents as a back pain with progressive neurologic symptoms. Most affected patients are obese and receiving steroid therapy, or have an endocrinopathies. We report a rare case of cauda equina syndrome caused by SEL in a non-obese healthy young man without any evident traumatic episode. A healthy 19-year-old man, who had experienced lower back pain for two months, visited our emergency room because of the sudden development of motor weakness and voiding difficulty. Lumbar magnetic resonance image revealed extradural fat compressing the cauda equina. Urgent decompression via posterior laminectomy and excision of excess epidural fat resulted in an immediate symptom improvement.
