Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management

Epidural lipomatosis (EL) is a pathology characterized by abnormal accumulation of unencapsulated fat in the epidural space. Although rare, it is a possible cause of lumbosciatica or narrow lumbar canal in adults. It is often associated with favorable factors such as prolonged corticosteroid therapy...

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Main Authors: Ouidad Louachama, Noureddine Rada, Ghizlane Draiss, Mohamed Bouskraoui
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/4562312
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author Ouidad Louachama
Noureddine Rada
Ghizlane Draiss
Mohamed Bouskraoui
author_facet Ouidad Louachama
Noureddine Rada
Ghizlane Draiss
Mohamed Bouskraoui
author_sort Ouidad Louachama
collection DOAJ
description Epidural lipomatosis (EL) is a pathology characterized by abnormal accumulation of unencapsulated fat in the epidural space. Although rare, it is a possible cause of lumbosciatica or narrow lumbar canal in adults. It is often associated with favorable factors such as prolonged corticosteroid therapy or obesity. We report an observation of an 18-month-old child who presented with walking delay without other abnormalities, and the radiological exploration confirmed the lumbar epidural lipomatosis. The management was mainly symptomatic, based on motor physiotherapy with additional management in neurosurgery. Various etiologies can cause this disease, remain rare in pediatrics, and the idiopathic form is predominant in children.
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institution Kabale University
issn 2090-6803
2090-6811
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Pediatrics
spelling doaj-art-b3fbc0fea5234b4b923a77e9c5318f502025-02-03T06:06:31ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/45623124562312Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult ManagementOuidad Louachama0Noureddine Rada1Ghizlane Draiss2Mohamed Bouskraoui3Mother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh, MoroccoMother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh, MoroccoMother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh, MoroccoMother and Child Hospital, Mohamed VI Marrakesh University Hospital, Marrakesh, MoroccoEpidural lipomatosis (EL) is a pathology characterized by abnormal accumulation of unencapsulated fat in the epidural space. Although rare, it is a possible cause of lumbosciatica or narrow lumbar canal in adults. It is often associated with favorable factors such as prolonged corticosteroid therapy or obesity. We report an observation of an 18-month-old child who presented with walking delay without other abnormalities, and the radiological exploration confirmed the lumbar epidural lipomatosis. The management was mainly symptomatic, based on motor physiotherapy with additional management in neurosurgery. Various etiologies can cause this disease, remain rare in pediatrics, and the idiopathic form is predominant in children.http://dx.doi.org/10.1155/2021/4562312
spellingShingle Ouidad Louachama
Noureddine Rada
Ghizlane Draiss
Mohamed Bouskraoui
Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
Case Reports in Pediatrics
title Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
title_full Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
title_fullStr Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
title_full_unstemmed Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
title_short Idiopathic Spinal Epidural Lipomatosis: Unusual Presentation and Difficult Management
title_sort idiopathic spinal epidural lipomatosis unusual presentation and difficult management
url http://dx.doi.org/10.1155/2021/4562312
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AT noureddinerada idiopathicspinalepidurallipomatosisunusualpresentationanddifficultmanagement
AT ghizlanedraiss idiopathicspinalepidurallipomatosisunusualpresentationanddifficultmanagement
AT mohamedbouskraoui idiopathicspinalepidurallipomatosisunusualpresentationanddifficultmanagement