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Case Reports
Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma.
- Constantin Schizas, Caridad Ballesteros, and Pratik Roy.
- Whittington Hospital, London, United Kingdom. cschizas@hotmail.com
- Spine. 2003 Apr 15; 28 (8): E148-51.
Study DesignA case report is presented.ObjectiveTo describe a case of a spinal epidural lipoma presenting as a cauda equina compression syndrome secondary to trauma.Summary Of Background DataEpidural lipomas are rare lesions that present as back pain with progressive neurologic symptoms.MethodsA patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years.ResultsImaging of the lumbar spine showed an extradural mass compressing the cauda equina. The patient underwent emergency surgery, and an adipose mass was removed. Neurologic recovery was observed and maintained 3 years after surgery.ConclusionsPreviously asymptomatic epidural masses such as lipomas can present with neurologic deficit after trauma. Appropriate imaging can help in the diagnosis and management of such cases.
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