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Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma.
Spine (Phila Pa 1976). 2003 Apr 15; 28(8):E148-51.S

Abstract

STUDY DESIGN

A case report is presented.

OBJECTIVE

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.

METHODS

A patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years.

RESULTS

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.

CONCLUSIONS

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.

Authors+Show Affiliations

Whittington Hospital, London, United Kingdom. cschizas@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12698132

Citation

Schizas, Constantin, et al. "Cauda Equina Compression After Trauma: an Unusual Presentation of Spinal Epidural Lipoma." Spine, vol. 28, no. 8, 2003, pp. E148-51.
Schizas C, Ballesteros C, Roy P. Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma. Spine. 2003;28(8):E148-51.
Schizas, C., Ballesteros, C., & Roy, P. (2003). Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma. Spine, 28(8), E148-51.
Schizas C, Ballesteros C, Roy P. Cauda Equina Compression After Trauma: an Unusual Presentation of Spinal Epidural Lipoma. Spine. 2003 Apr 15;28(8):E148-51. PubMed PMID: 12698132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma. AU - Schizas,Constantin, AU - Ballesteros,Caridad, AU - Roy,Pratik, PY - 2003/4/17/pubmed PY - 2004/2/11/medline PY - 2003/4/17/entrez SP - E148 EP - 51 JF - Spine JO - Spine VL - 28 IS - 8 N2 - STUDY DESIGN: A case report is presented. OBJECTIVE: 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. METHODS: A patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years. RESULTS: 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. CONCLUSIONS: 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. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/12698132/Cauda_equina_compression_after_trauma:_an_unusual_presentation_of_spinal_epidural_lipoma_ L2 - http://Insights.ovid.com/pubmed?pmid=12698132 DB - PRIME DP - Unbound Medicine ER -