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Updated: Sep 3, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma
Constantin Schizas1, Caridad Ballesteros, Pratik Roy
1Whittington Hospital, London, United Kingdom. cschizas@hotmail.com
Study Design:
A case report is presented.
Objective:
To describe a case of a spinal epidural lipoma presenting as a cauda equina compression syndrome secondary to trauma.
Summary Of Background Data:
Epidural lipomas are rare lesions that present as back pain with progressive neurologic symptoms.
Methods:
A patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years.
Results:
Imaging of the lumbar spine showed an extradural mass compressing the cauda equina. The patient underwent emergency surgery, and an adipose mass was removed. Neurologic recovery was observed and maintained 3 years after surgery.
Conclusions:
Previously asymptomatic epidural masses such as lipomas can present with neurologic deficit after trauma. Appropriate imaging can help in the diagnosis and management of such cases.
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