Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy
A 56-year-old obese man with a body mass index of 30.9 kg/m2 presented with left sciatica and intermittent claudication. Computed tomography scans showed a posterior vertebral scalloping change in L3, L4, and L5. Meanwhile, magnetic resonance imaging revealed epidural mass posterior to the L3, L4, a...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/7502552 |
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| _version_ | 1832563493885181952 |
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| author | Hiroshi Noguchi Masao Koda Tetsuya Abe Toru Funayama Hiroshi Takahashi Kousei Miura Kentaro Mataki Mamoru Kono Fumihiko Eto Yosuke Shibao Masashi Yamazaki |
| author_facet | Hiroshi Noguchi Masao Koda Tetsuya Abe Toru Funayama Hiroshi Takahashi Kousei Miura Kentaro Mataki Mamoru Kono Fumihiko Eto Yosuke Shibao Masashi Yamazaki |
| author_sort | Hiroshi Noguchi |
| collection | DOAJ |
| description | A 56-year-old obese man with a body mass index of 30.9 kg/m2 presented with left sciatica and intermittent claudication. Computed tomography scans showed a posterior vertebral scalloping change in L3, L4, and L5. Meanwhile, magnetic resonance imaging revealed epidural mass posterior to the L3, L4, and L5 vertebral bodies. The solitary mass was isosignal to subcutaneous fat and asymmetrically compressed to the left side of the dural sac and L4 nerve root, as observed on axial T1- and T2-weighted images. To the best of our knowledge, there have been few reports of a solitary epidural lipoma causing lumbar radiculopathy. The patient underwent transforaminal lumbar interbody fusion at L4–L5, and his symptoms then resolved. Thus, we recommend decompression and fixation as appropriate management for lumbar radiculopathy caused by epidural lipoma located on the ventral side of the dura and intervertebral foramen. |
| format | Article |
| id | doaj-art-5e79c6cef13b44748f02e372856e4416 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5e79c6cef13b44748f02e372856e44162025-02-03T01:20:02ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/7502552Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar RadiculopathyHiroshi Noguchi0Masao Koda1Tetsuya Abe2Toru Funayama3Hiroshi Takahashi4Kousei Miura5Kentaro Mataki6Mamoru Kono7Fumihiko Eto8Yosuke Shibao9Masashi Yamazaki10Department of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryA 56-year-old obese man with a body mass index of 30.9 kg/m2 presented with left sciatica and intermittent claudication. Computed tomography scans showed a posterior vertebral scalloping change in L3, L4, and L5. Meanwhile, magnetic resonance imaging revealed epidural mass posterior to the L3, L4, and L5 vertebral bodies. The solitary mass was isosignal to subcutaneous fat and asymmetrically compressed to the left side of the dural sac and L4 nerve root, as observed on axial T1- and T2-weighted images. To the best of our knowledge, there have been few reports of a solitary epidural lipoma causing lumbar radiculopathy. The patient underwent transforaminal lumbar interbody fusion at L4–L5, and his symptoms then resolved. Thus, we recommend decompression and fixation as appropriate management for lumbar radiculopathy caused by epidural lipoma located on the ventral side of the dura and intervertebral foramen.http://dx.doi.org/10.1155/2022/7502552 |
| spellingShingle | Hiroshi Noguchi Masao Koda Tetsuya Abe Toru Funayama Hiroshi Takahashi Kousei Miura Kentaro Mataki Mamoru Kono Fumihiko Eto Yosuke Shibao Masashi Yamazaki Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy Case Reports in Orthopedics |
| title | Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy |
| title_full | Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy |
| title_fullStr | Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy |
| title_full_unstemmed | Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy |
| title_short | Spinal Epidural Lipoma on the Ventral Dura Side and Intervertebral Foramen Causing Lumbar Radiculopathy |
| title_sort | spinal epidural lipoma on the ventral dura side and intervertebral foramen causing lumbar radiculopathy |
| url | http://dx.doi.org/10.1155/2022/7502552 |
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