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CardioVascular and Interventional Radiology

, Volume 34, Supplement 2, pp 250–255 | Cite as

Symptomatic Spinal Epidural Lipomatosis After a Single Local Epidural Steroid Injection

  • Chung Hong TokEmail author
  • Shaleen Kaur
  • Afshin Gangi
Case Report

Abstract

Spinal epidural lipomatosis is a rare disorder that can manifest with progressive neurological deficits. It is characterized by abnormal accumulation of unencapsulated epidural fat commonly associated with the administration of exogenous steroids associated with a variety of systemic diseases, endocrinopathies, and Cushing syndrome (Fogel et al. Spine J 5:202–211, 2005). Occasionally, spinal epidural lipomatosis may occur in patients not exposed to steroids or in patients with endocrinopathies, primarily in obese individuals (Fogel et al. Spine J 5:202–211, 2005). However, spinal lumbar epidural lipomatosis resulting from local steroid injection has rarely been reported. We report the case of a 45-year-old diabetic man with claudication that was probably due to symptomatic lumbar spinal lipomatosis resulting from a single local epidural steroid injection.

Keywords

Spinal epidural lipomatosis Steroid injection Facet arthropathy 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  1. 1.Department of Biomedical Imaging, Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia
  2. 2.Department of Radiology BUniversity Hospital of StrasbourgStrasbourgFrance

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