Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma.Spine (Phila Pa 1976). 2003 Apr 15; 28(8):E148-51.S
A case report is presented.
To describe a case of a spinal epidural lipoma presenting as a cauda equina compression syndrome secondary to trauma.
SUMMARY OF BACKGROUND DATA
Epidural lipomas are rare lesions that present as back pain with progressive neurologic symptoms.
A patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years.
Imaging of the lumbar spine showed an extradural mass compressing the cauda equina. The patient underwent emergency surgery, and an adipose mass was removed. Neurologic recovery was observed and maintained 3 years after surgery.
Previously asymptomatic epidural masses such as lipomas can present with neurologic deficit after trauma. Appropriate imaging can help in the diagnosis and management of such cases.