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Extradural lipomatosis presenting with paraplegia
M Deogaonkar1, A Goel, K Tingare
1Department of Neurosurgery, KEM Hospital, Parel, Mumbai.
Journal of Postgraduate Medicine
|July 1, 1995
Summary
Spinal extradural lipomatosis, a rare condition of fat buildup in the spine, can cause severe neurological symptoms. This case highlights its occurrence in a healthy individual, leading to rapid paraplegia.
Area of Science:
- Neurology
- Neurosurgery
- Spinal Cord Imaging
Background:
- Spinal extradural lipomatosis (SEL) is a rare condition characterized by the excessive accumulation of adipose tissue within the spinal extradural space.
- While often associated with obesity or corticosteroid use, SEL can occur in otherwise healthy individuals.
Observation:
- A case report detailing an unusual presentation of SEL in a non-obese, healthy male patient.
- The patient experienced progressive weakness in the legs over 40 days, ultimately leading to paraplegia.
Findings:
- The case underscores that spinal extradural lipomatosis can manifest without typical risk factors.
- Rapid neurological deterioration, including paraplegia, can be a presenting symptom of SEL.
Implications:
- Highlights the importance of considering SEL in the differential diagnosis of non-traumatic myelopathy, even in healthy patients.
- Suggests the need for timely diagnosis and intervention to prevent irreversible neurological deficits.
- Emphasizes the role of advanced imaging in identifying extradural masses causing spinal cord compression.