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Case Reports
. 2023 Jul 29;15(7):e42647.
doi: 10.7759/cureus.42647. eCollection 2023 Jul.

A Rare Cause of Low Back Pain

Abigail Conroy  1 , Justin Bui  2 , Emily Barnard  2 , Lazaro Diaz  3
Affiliations
Case Reports

A Rare Cause of Low Back Pain

Abigail Conroy et al. Cureus. .

Abstract

This is the case of a 60-year-old man with no known medical history who presented with progressively worsening lumbar pain and was found to have idiopathic dorsal epidural lipomatosis. The patient's condition improved significantly with pain management. Therefore, no surgical intervention was warranted at the time, but the patient was advised to keep close follow-up as an outpatient. Being familiar with this potential cause of lumbar pain is vital, as it can lead to severe morbidity if left unrecognized.

Keywords: back pain; idiopathic lumbar disorder; idiopathic spinal epidural lipomatosis; lumbar epidural lipomatosis; mri; spinal epidural lipomatosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. MRI T2 with contrast of the lumbosacral spinal cord showing fat compression at multiple levels (white arrows). L2-L3 disc herniation (orange arrow).
See this image and copyright information in PMC

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References

    1. Lumbar epidural lipomatosis is associated with visceral fat and metabolic disorders. Morishita S, Arai Y, Yoshii T, Sakai K, Hirai T, Okawa A. Eur Spine J. 2018;27:1653–1661. - PubMed
    1. Spinal cord compression by extradural fat after renal transplantation. Lee M, Lekias J, Gubbay SS, Hurst PE. Med J Aust. 1975;1:201–203. - PubMed
    1. Spinal epidural lipomatosis: a comprehensive review. Walker PB, Sark C, Brennan G, Smith T, Sherman WF, Kaye AD. Orthop Rev (Pavia) 2021;13:25571. - PMC - PubMed
    1. The clinical characteristics of spinal epidural lipomatosis in the lumbar spine. Park SK, Han JM, Lee K, Cho WJ, Oh JH, Choi YS. Anesth Pain Med. 2018;8:0. - PMC - PubMed
    1. Decompression of idiopathic lumbar epidural lipomatosis: diagnostic magnetic resonance imaging evaluation and review of the literature. Ishikawa Y, Shimada Y, Miyakoshi N, et al. J Neurosurg Spine. 2006;4:24–30. - PubMed

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