Spinal epidural lipomatosis can develop spontaneously or due to obesity as a result of disease and can cause compression of the spinal cord.

In this case, the patient's likely cause is obesity which resulted in the accumulation of epidural fat with consequent compression of the spinal canal.

The usual treatment is immediate laminectomy with the removal of epidural fat.

This case was kindly provided by Dr Rodrigo Dias Duarte.