Summary
Epidural lipomatosis may be unassociated with steroid use and should be considered in the differential diagnosis of lumbar radiculopathy. This may cause widening of the spinal canal on plain film and complete block on myelography. CT or MRI is diagnostic.
Similar content being viewed by others
References
Lee M, Lekias J, Gubbay SS, Hurst PE (1975) Spinal cord compression by extradural fat after renal transplantation. Med J Aust 1: 201–203
Butcher DL, Sahn SA (1979) Epidural lipomatosis: a complication of corticosteroid therapy. Ann Intern Med 90: 60
Godeau P, Brunet P, Wechsler B, Fohanno D (1979) Lipomatose extra-durale compressive, accident inhabituel de la corticotherapie. Nouv Presse Med 8: 3889–3891
Lipson SJ, Naheedy MH, Kaplan MM, Bienfang DC (1980) Spinal stenosis caused by epidural lipomatosis in Cushing's syndrome. N Engl J Med 302: 36
Chapman PH, Martuza RL, Poletti CE, Karchmer AW (1981) Symptomatic spinal epidural lipomatosis associated with Cushing's syndrome. Neurosurgery 8: 724–727
Archer CR, Smith KR Jr (1982) Extradural lipomatosis simulating an acute herniated nucleus pulposus. Case report. J Neurosurg 57: 559–562
Guegan Y, Fardoun R, Launois B, Pecker J (1982) Spinal cord compression by extradural fat after prolonged corticosteroid therapy. J Neurosurg 56: 267–269
Russell NA, Belanger G, Benoit BG, Latter ON, Finestone DL, Armstrong GW (1984) Spinal epidural lipomatosis: a complication of glucocorticoid therapy. Can J Neurol Sci 11: 383–386
Randall BC, Muraki AS, Osborn RE, Brown F (1986) Epidural lipomatosis with lumbar radiculopathy: CT appearance. J Comput Assist Tomogr 10: 1039–1041
Badami JP, Hinck VC (1982) Symptomatic deposition of epidural fat in a morbidly obese woman. AJNR 3: 664–665
Hick VC, Hopkins CE, Clark WM (1965) Sagittal diameter of the lumbar spinal canal in children and adults. Radiology 85: 929–937
Hinck VC, Clark WM, Hopkins CE (1966) Normal interpediculate distances (minimum and maximum) in children and adults. AJR 97: 141–153
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gero, B.T., Chynn, K.Y. Symptomatic spinal epidural lipomatosis without exogenous steroid intake. Neuroradiology 31, 190–192 (1989). https://doi.org/10.1007/BF00698854
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00698854