Symptomatic Spinal Epidural Lipomatosis Induced by a Long-Term Steroid Treatment Review of the Literature and Report of Two Additional Cases

Roy-Camille, R; Mazel, C.; Husson, J. L.; Saillant, G

doi:10.1097/00007632-199112000-00004

Cited by 95 publications

(103 citation statements)

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“…Five months later, SEL progressed rapidly and was symptomatic. Roy-Camille et al [13]. reported first a SEL after lumbar epidural steroid injection.…”

Section: Discussionmentioning

confidence: 99%

Rapid progression of spinal epidural lipomatosis

et al. 2011

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Spinal epidural lipomatosis (SEL) is a rare but well-recognized condition. In general, the onset of its symptoms is insidious and the disease progresses slowly. We report two cases of rapid progression of SEL with no history of steroid intake in non-obese individuals after epidural steroid injection. These SEL patients developed neurologic symptoms after less than 5 months; these symptoms were confirmed to be due to SEL by serial MR images. After the debulking of the epidural fat, their symptoms improved.

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“…Five months later, SEL progressed rapidly and was symptomatic. Roy-Camille et al [13]. reported first a SEL after lumbar epidural steroid injection.…”

Section: Discussionmentioning

confidence: 99%

Rapid progression of spinal epidural lipomatosis

et al. 2011

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“…Other rare forms such as retinal haemorrhage, myopathy and lipomatosis associated with Cushing's syndrome have also been reported. 1,33,47 The present paper is aimed to present a single operator's experience with measurable parameters (straight leg raising test, spinal flexion and extension, percentage of improvement), which is believed to be uncommon 2,7,39 in the literature 10,15,49 A new test, the Whistle Test, is also described.…”

Section: Introductionmentioning

confidence: 99%

Epidural Steroid Injection for Sciatica: An Analysis of 526 Consecutive Cases with Measurements and the Whistle Test

Loy

2000

J Orthop Surg (Hong Kong)

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The effects of epidural injections of triamcinolone acetonide and bupivacaine in the treatment of sciatica were analyzed in a retrospective series of 526 consecutive cases with measurements. A new test (the whistle test) is described. There is a paucity of measureable parameters in reports on the subject in the literature, and many are not specific or symptomoriented to sciatica. The procedure was performed by the same operator and reviewed one week postoperatively with measurements. 491 patients (93.35%) achieved excellent to good pain relief, backed by appropriate increases of straight-leg-raise measurements. But 17 patients (3.46%) of this group required surgery later. It is concluded that epidural steroid injection is a simple, cost-effective and minimally invasive treatment for sciatica, especially in the acute. It also serves as a method for crisis intervention and as a prognosticator.

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“…Our patient had no evidence of spinal dysraphism, and the absent posterior rim of the foramen magnum was apparently due to progressive erosion by the progressive increase in the size of the lesion over the years [4, 9]. We could not find earlier reports of epidural lipoma in the CM region; however, all other regions have been shown to be involved [3, 4, 6, 7]. …”

Section: Introductionmentioning

confidence: 50%

“…The deficits may be present at birth but they may also occur in the middle age. These events are classified as epidural lipomatosis (mostly observed in patients on chronic steroid treatment) or as lipoma, common in spinal dysraphism [1, 3]. There are reports of epidural lipoma and angiolipomas usually in the dorsal region and over the posterior aspect of the dura [4].…”

Section: Introductionmentioning

confidence: 99%