Spontaneous resolution of spinal epidural lipomatosis.

J Clin Neurosci · Nov 2013

Case Reports

Spontaneous resolution of spinal epidural lipomatosis.

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. ⋯ 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.

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- Akash J Patel, Jonathan Sellin, Bruce L Ehni, and Claudio E Tatsui.
- Department of Neurosurgery, Baylor College of Medicine, 1709 Dryden, Suite 750, Houston, TX 77030, USA. Electronic address: ap144168@bcm.edu.
- J Clin Neurosci. 2013 Nov 1; 20 (11): 1595-7.
AbstractSpinal 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.Copyright © 2013 Elsevier Ltd. All rights reserved.

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Spontaneous resolution of spinal epidural lipomatosis.

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