Keywords
Steroid hormones
Spinal stenosis
Spinal decompression surgery
Submitted : 2025-02-04
Accepted : 2025-02-19
Published : 2025-03-06
Abstract
Spinal epidural lipomatosis (SEL) refers to the pathological overgrowth and accumulation of fat tissue within the spinal canal, forming an intraspinal space-occupying lesion. It is often associated with other spinal surgical conditions. This study retrospectively analyzes the clinical data of a patient diagnosed with SEL at Wuhan Hospital of Traditional Chinese Medicine on April 18, 2024, and reviews relevant literature. The study focuses on the etiology, clinical manifestations, diagnosis, and treatment of SEL to provide insights for clinical practice.
References
Reina MA, Franco CD, López A, et al., 2009, Clinical Implications of Epidural Fat in the Spinal Canal. A Scanning Electron Microscopic Study. Acta Anaesthesiologica Belgica, 60(1): 7–17.
Bhalla S, Puri V, Skjei K, 2019, Spinal Epidural Lipomatosis: A Rare Complication from Hormonal Therapy for Infantile Spasms. Pediatric Neurology, 101: 78–80.
Ishihara S, Fujita N, Azuma K, et al., 2019, Spinal Epidural Lipomatosis is a Previously Unrecognized Manifestation of Metabolic Syndrome. Spine J, 19(3): 493–500.
Greenish D, Watura K, Harding I, 2019, Spinal Epidural Lipomatosis Following Bilateral Spinal Decompression Surgery. BMJ Case Reports, 12(2): e226985.
Salna Iv J, Lee J, Maddock E, et al., 2023, A Case of Spinal Epidural Lipomatosis Presenting as a Stroke Mimic. The American Journal of Emergency Medicine, 71: 249.E3–249.E5.
Ge Y, et al., 2016, Initial Exploration of MRI Diagnostic Criteria for Spinal Epidural Lipomatosis. Journal of Practical Radiology, 32(12): 3.
Kellett CG, Norman V, Jung ICF, et al., 2019, Symptomatic Idiopathic Spinal Epidural Lipomatosis in 9 Patients: Clinical, Radiologic, and Pathogenetic Features. World Neurosurgery, 2019: 126.
Papastefan ST, Bhimani AD, Denyer S, et al., 2018, Management of Idiopathic Spinal Epidural Lipomatosis: A Case Report and Review of the Literature. Child’s Nervous System, 34(4): 757–763.