Lumbar Spinal Stenosis Induced by Epidural Lipomatosis: A case report.

, Park, Gi young; , Cho, Jang hyuk; , Lee, So young

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(6):618-621.

Park, Gi young , Cho, Jang hyuk , Lee, So young

Department of Rehabilitation Medicine, Dongsan Medical Center, Keimyung University College of Medicine, Korea. chojang@dsmc.or.kr

경막외 지방 증식증에 의한 요추관 협착증⁣증례 보고⁣

박기영, 조장혁, 이소영

계명대학교 의과대학 재활의학교실

Abstract

The epidural lipomatosis is the unusual result of fat deposition in the extradural space of spinal canal, and most cases are associated with the chronic systemic steroid treatment. Symptoms related to spinal stenosis are postulated to result from spinal cord and nerve root compression. MR imaging is the first choice of the investigation method. Patients with acute progressive symptoms are best treated surgically, while others with stable symptoms can initially be treated medically with immediate tapering of their steroid dose. We reported one case of lumbar spinal stenosis induced by epidural lipomatosis receiving chronic steroid treatment. Surgical treatment could not be performed because of the poor general condition. Rehabilitation care and nonoperative therapy were effective in improving symptoms in lumbar epidural spinal stenosis induced by epidural lipomatosis. (J Korean Acad Rehab Med 2004; 28: 618-621)

Key Words: Epidural lipomatosis, Steroid treatment, Spinal stenosis, Hypopituitarism