• BMJ case reports · Feb 2019

    Case Reports

    Spinal epidural lipomatosis following bilateral spinal decompression surgery.

    • Davyd Greenish, Karen Watura, and Ian Harding.
    • Medicine, Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, UK.
    • BMJ Case Rep. 2019 Feb 15; 12 (2).

    AbstractA 73-year-old man underwent bilateral spinal decompression of L4/5 for severe spinal canal stenosis, requiring minimal analgesia and providing immediate relief. Two days post-operatively, he presented with new onset bilateral leg pain and difficulty mobilising. MRI demonstrated spinal epidural lipomatosis (SEL), which was not present pre-operatively, at L5/S1. Further surgery was performed with decompression of L5/S1 through removal of epidural fat. At both 3 weeks and 5 months follow-up clinics, the patient was asymptomatic. To our knowledge, this is the first case of acute spinal epidural lipomatosis directly following spinal surgery. It is important to recognise SEL as a complication following spinal surgical intervention, due to the potential development of significant neurological consequences.© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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