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Case Reports
. 2013 Nov;20(11):1595-7.
doi: 10.1016/j.jocn.2012.09.049. Epub 2013 May 29.

Spontaneous resolution of spinal epidural lipomatosis

Akash J Patel  1 , Jonathan Sellin, Bruce L Ehni, Claudio E Tatsui
Affiliations
Case Reports

Spontaneous resolution of spinal epidural lipomatosis

Akash J Patel et al. J Clin Neurosci. 2013 Nov.

Abstract

Spinal epidural lipomatosis (SEL) is an abnormal accumulation of unencapsulated, epidural fat. SEL can be divided into idiopathic and secondary. Secondary SEL is often associated with chronic steroid use and endocrinopathies. Idiopathic SEL has been associated with obesity. SEL has been implicated in a variety of neurologic impairments and surgical decompression has been shown to prevent further worsening or result in improvement. We report a 53-year-old man with obesity and a history of chronic back pain who developed idiopathic SEL diagnosed by MRI, which subsequently resolved completely over an 8 month follow-up period. To our knowledge, this is the first reported case of complete radiographic resolution of SEL without any treatment.

Keywords: Lumbar epidural lipomatosis; Regression; Resolution; Spinal epidural lipomatosis.

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