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Case Reports
Journal Article
Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma.
Spine 2003 April 16
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.
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.
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