Is epidural lipomatosis serious?
Purpose: The lumbar epidural lipomatosis (LEL) is a rare disease that can cause sciatic pain syndrome or neurological deficits comparable to symptoms caused by a classical spinal canal stenosis. In severe cases surgical decompression was conducted.
Is epidural lipomatosis progressive?
Spinal epidural lipomatosis is a rare and complex disor- der that can present with progressive neurological deficits. Hypertrophy of adipose tissue located in the spinal epidu- ral space is most commonly associated with long-term steroid use but can be observed in patients with a number of other conditions.
How do you get rid of epidural fat?
Conservative therapy, either weight loss or withdrawal of steroids, may reduce epidural adipose tissue leading to an improvement of symptoms. Decompressive laminectomy with resection of the epidural fat is also very successful in improving neurological symptoms.
What is lumbar epidural lipomatosis?
Epidural lipomatosis refers to an excessive accumulation of fat within the spinal epidural space resulting in compression of the thecal sac. In severe cases, compression may be symptomatic. The lumbar region is most frequently affected.
What causes epidural lipomatosis?
Exogenous steroid use is the most common cause of epidural lipomatosis (non-neoplastic overgrowth of adipose tissue within the epidural space of spinal canal[1]) and accounts for about 55% of cases. [2] The less common causes are obesity (25%), Cushing’s syndrome (3%) and idiopathic (17%).
What is pelvic Lipomatosis?
Pelvic lipomatosis is a rare benign disease, associated with overgrowth of fat in the perivesical and perirectal area. It is of unknown etiology. We describe a 45–year–old male with pelvic lipomatosis causing bladder storage dysfunction symptoms and pelvic pain that affected his quality of life.
Can epidural lipomatosis go away?
[1,2,4,10,11] Decompressive treatment is successful in majority of patients and they may have neurological recovery after surgical intervention. The prognosis of idiopathic spinal epidural lipomatosis is favorable after surgical intervention and no cases of recurrence have been reported following surgery.
How common is epidural lipomatosis?
Epidural lipomatosis is a rare disorder in which an abnormal amount of fat is deposited on or outside the lining of the spine. It may press on the spinal cord and nerves.
What is epidural lipomatosis?
Is epidural lipomatosis a contraindication to epidural steroid?
The MRI-based early diagnosis and staging[5] of epidural lipomatosis (that may present with or without symptoms) directs pain physicians to consider epidural lipomatosis as an absolute contraindication for interventional pain procedures with steroids because epidural interventions may fail to provide analgesia due to …
What is retroperitoneal lipomatosis?
Retroperitoneal Lipomatosis. —Lipomatosis is a benign metaplastic overgrowth of mature unencapsulated white fat. The condition usually affects the extraperitoneal pelvis and less commonly affects the abdominal retroperitoneum—specifically the perinephric space.
What is the meaning of lipomatosis?
Medical Definition of lipomatosis : any of several abnormal conditions marked by local or generalized deposits of fat or replacement of other tissue by fat specifically : the presence of multiple lipomas.
What are the etiologies of spinal epidural lipomatosis?
Spinal Epidural Lipomatosis: A Review of Pathogenesis, Characteristics, Clinical Presentation, and Management Possible etiologies of SEL include exogenous steroid use, endogenous steroid hormonal disease, obesity, surgery induced, and idiopathic disease.
How does lipomatosis affect the thoracic spinal cord?
Spinal Epidural Lipomatosis is a rare complicated disorder characterized by pathological epidural fat tissue in the spinal canal resulting in impingement or compression of the spinal cord. 1 This condition mostly affects the thoracic spine and is seen in males more than it is seen in females.
Which is the best treatment for spinal lipomatosis?
The surgical procedure may consist of fat debulking or laminectomy. If the symptoms are severely debilitating and progressive then surgery is the most preferred form of treatment for Spinal Epidural Lipomatosis.
What causes pain in the lower lumbar spine?
It is also believed to be caused in obese individuals. The classic presenting feature of Spinal Epidural Lipomatosis is pain in the lumbar or thoracic spine region with radiation of pain down the lower extremities along with paresthesias and weakness of the lower extremities.