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Updated: Feb 6, 2026
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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
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Neonatal Epidural Lipomatosis: A Rare Case.
Jaswir Singh1, Manpreet Sodhi1, Neha Arora1
1Department of Pediatrics, Government Medical College, Patiala, Punjab, India.
Journal of Pediatric Neurosciences
|August 10, 2018
Summary
A newborn developed lower motor neuron paralysis after sepsis treatment. Spinal epidural lipomatosis was identified as the cause, compressing the spinal cord.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Radiology
Background:
- Neonatal sepsis and meningitis are critical conditions requiring prompt antibiotic intervention.
- Early diagnosis and management are crucial for preventing long-term neurological sequelae in infants.
Observation:
- A 7-day-old infant presented with fever, lethargy, and poor feeding, diagnosed with sepsis and meningitis.
- Following antibiotic treatment, the infant developed lower motor neuron paralysis and sensory deficits in both lower limbs, with incontinence.
Findings:
- Magnetic resonance imaging (MRI) of the spine revealed spinal epidural lipomatosis (SEL).
- The SEL extended from the T8 to L5 vertebral levels, causing significant thecal compression at L3-L4.
Implications:
- This case highlights SEL as a rare but significant cause of neurological deficits in neonates.
- Early recognition and neuroimaging are vital for diagnosing SEL and initiating appropriate management to improve outcomes.
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