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Journal of Korean Neurosurgical Society 1999;28(1): 110-113.
Spinal Epidural Lipomatosis.
Won Il Ju, Jae Geun Ahn, Cheol Ji, Sung Chan Park, Kyoung Suok Cho, Chun Kun Park, Joon Ki Kang
Department of Neurosurgery, Medical College, The Catholic University of Korea, Seoul, Korea.
ABSTRACT
A 65-year-old man presented with simple neurogenic claudication for 3 yea rs. He chronically used steroid (betamethasone) medication for about 6 yea rs due to prurigo simplex. Imaging studies(myelography, CT, and MRI ) showed circumferential constriction of the central thecal sac at L5 by excessive epidural fat. After decompressive laminectomy and debulking of fat tissue, the symptom was subsided. The authors reviewed the literature relevant to spinal epidural lipomatosis.
Key Words: Lipomatosis; Steroid; Neurogenic claudication; Spinal epidural space
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