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Spinal epidural lipomatosis: a complication of glucocorticoid therapy
Ist Teil von
Canadian journal of neurological sciences, 1984-08, Vol.11 (3), p.383-386
Ort / Verlag
England
Erscheinungsjahr
1984
Quelle
MEDLINE
Beschreibungen/Notizen
A 21-year-old woman receiving prolonged high dosage glucocorticoids developed spinal cord compression due to excessive accumulation of epidural fat. Computerized tomographic scanning confirmed the diagnosis and revealed a peculiar pattern of spinal cord displacement which we believe to be unique to compression by fat. Laminectomy did not afford relief, possibly because of prolonged neural compression or because of compression at a higher spinal level. Although an unusual complication of Cushing's syndrome, epidural lipomatosis should be considered when such a patient develops symptoms of spinal cord or cauda equina compression.