• Spinal cord · Mar 2008

    Case Reports

    Idiopathic spinal epidural lipomatosis without obesity: a case with relapsing and remitting course.

    • A Akhaddar, H Ennouali, M Gazzaz, O Naama, B Elmostarchid, and M Boucetta.
    • Department of Neurosurgery, University of King Mohammed V Medical School, Mohammed V Military Hospital, Rabat, Morocco. akhaddar@hotmail.fr
    • Spinal Cord. 2008 Mar 1; 46 (3): 243-4.

    Study DesignCase report of a rare form of idiopathic spinal epidural lipomatosis (SEL) manifesting with relapsing and remitting course.ObjectiveTo describe this very rare clinical and pathological condition and the results of surgical intervention.SettingA department of neurosurgery in Morocco.MethodsA 24-year-old man presented with a 2-year history of mid-thoracic back pain and progressive neurogenic claudication with two episodes of remitting and relapsing course. Spinal magnetic resonance imaging revealed a fatty epidural mass extending from T4 to T9. Posterior decompression was performed, and he was followed for 3 years after the operation.ResultsPathological examination of the surgical specimen revealed nodules of mature fat cells without neoplasm. The patient's symptoms completely resolved after surgical decompression.ConclusionFluctuating clinical course has not been reported previously in SEL. Such pathology should be considered in the differential diagnosis of demyelinating diseases.

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