Discussion of Epidural lipomatosis
- Epidural lipomatosis is an unusual condition.
- It is most often associated with Cushing syndrome and exogenous corticosteroid drug therapy.
- Usually occurs in thoracic or lumbar spine.
- Although results of neurologic examination may be normal, patients with epidural lipomatosis usually present with weakness, decreased sensation and reflexes, and mild back pain.
- Alterations in bowel and bladder function are seen infrequently.
- The treatment of epidural lipomatosis often consists of reduction in steroid dose and prescribed weight loss.
- Patients who undergo surgery for decompression may have a mortality rate (up to 22%), probably due to the overall immunosuppressed status of affected patients.
 Imaging Findings for Epidural lipomatosis
- On T1-weighted images, the high signal intensity of prominent epidural fat is generally diagnostic for epidural lipomatosis.
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 References for Epidural lipomatosis
- Francis G. Greiner, and Deepak Takhtani. Neuroradiology Case of the Day. RadioGraphics 1999 19: 1397-1400.