An Unusual Case of Idiopathic Spinal Epidural Lipomatosis

Abstract

An excess of adipose tissue buildup restricted to the lumbar and thoracic areas of the spine is the cause of spinal epidural lipomatosis. The etiology of spinal epidural lipomatosis can be broadly categorized based on five often related risk factors: obesity, endogenous steroid hormonal disease, spine surgery, exogenous steroid use and idiopathic disease. However, the actual pathophysiology of the condition remains unclear. Neurological impairments, myelopathy, radiculopathy, neurogenic claudication, loss of sensation, difficulties voiding, lower extremity weakness and infrequently cauda equina syndrome might result from the progression of spinal epidural lipomatosis. Conservative treatment focuses on reducing symptoms that result from common risk factors and is primarily patient-specific. Open surgical procedures and minimally invasive surgery have shown to be effective if more advanced means of treatment are required. Here, we report an unusual case of idiopathic spinal epidural lipomatosis. Treatment will depend on the neurological status of the patient. We opted to manage the patient conservatively and closely monitor her on follow up visits.