Epidural lipomatosis

Case contributed by Laughlin Dawes , 24 Apr 2015
Diagnosis certain
Changed by Daniel J Bell, 3 Nov 2021

Updates to Case Attributes

Presentation was changed:
This patient presented with progressiveProgressive weakness of the legs and tingling sensation. This was attributed to his long-standing diabetes.
Body was changed:

Case credit: Dr Abhijit Datir.

  • -<p>Case credit: Dr Abhijit Datir.</p>
  • +<p>Case credit: Dr Abhijit Datir</p>

References changed:

  • 1. Greiner F & Takhtani D. Neuroradiology Case of the Day. RadioGraphics. 1999;19(5):1397-400. <a href="https://doi.org/10.1148/radiographics.19.5.g99se251397">doi:10.1148/radiographics.19.5.g99se251397</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/10489194">Pubmed</a>
  • Greiner FG, Takhtani D. Neuroradiology case of the day. Extradural lipomatosis. Radiographics. 1999;19 (5): 1397-400. <a href="http://dx.doi.org/10.1148/radiographics.19.5.g99se251397">doi:10.1148/radiographics.19.5.g99se251397</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/10489194">Pubmed citation</a><span class="auto"></span>

Tags changed:

  • legacy

Updates to Freetext Attributes

Description was added:
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Updates to Study Attributes

Findings was changed:

Evidence of extensive epidural fat infiltration which is hyperintense on both T1W and T2W. There is also associated chronic fatty atrophy of back muscles. The cord and cauda equina are compressed anteriorly by the epidural lipomatosis, with complete effacement of CSF. There are mild posterior disc herniations at several levels which may be contributing to the compressive myelopathy.

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