Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81 Warning: fopen(/home/virtual/e-kjs/journal/upload/ip_log/ip_log_2024-04.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84 Symptomatic Spinal Epidural Lipomatosis Induced by Repeated Epidural Steroid Injections.
  • Advanced Search
Korean J Spine Search

CLOSE

Case Report
Korean J Spine 2009;6(3): 218-220.
11
Symptomatic Spinal Epidural Lipomatosis Induced by Repeated Epidural Steroid Injections.
Ho Sang Kim, In Ho Han, Jung Hwan Lee, Byung Kwan Choi
Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Pusan, Korea. farlateral@hanmail.net
Abstract
We present a very rare case of symptomatic spinal epidural lipomatosis(SEL) induced by repeated epidural steroid injections. A 59-year-old woman presented with severe neurogenic claudication and bilateral radiating leg pain aggravated for 1 year. She had undergone epidural triamcinolone injections 19 times for 3 years in a local clinic for chronic low back pain. At first, there had been no symptoms of lumbar stenosis such as leg pain or claudication. During the period of injections, radiating leg pain and claudication appeared newly and were gradually aggravated. Hormonal study and physical examination confirmed iatrogenic Cushing's syndrome. Magnetic resonance imaging(MRI) revealed extensive epidural fat deposition compressing cauda equnina from L3 to S1. Therefore, we concluded that multiple epidural steroid injections caused iatrogenic Cushing's syndrome and SEL. We performed debulking of epidural fat and bilateral neural decompression via left unilateral partial hemilaminectomy at L3-4-5-S1 in order to preserve stability considering preexisting multiple compression fractures. After operation, the patient's neurogenic claudication and radiating pain were completely disappeared.
Keywords: Spinal epidural lipomatosis;Epidural steroid injection
  • Medtronic
    • TOOLS
    Share :
    Facebook Twitter Linked In Google+
    METRICS Graph View
    • 2,322 View
    • 16 Download
    Related articles in NS

    Chronic Spinal Epidural Hematoma due to Repeated Epidural Block: A Case Report.2008 March;5(1)

    Idiopathic Spinal Epidural Lipomatosis - A Case Report -2006 June;3(2)

    Steroid-induced Spinal Epidural Lipomatosis after Suprasella Tumor Resection2013 June;10(2)

    Spinal Epidural Hematoma Related to Intracranial Hypotension2013 September;10(3)

    Journal Impact Factor 3.2
    ABOUT
    SUBSPECIALTY

    Browse all articles >

    ARTICLE CATEGORY

    Browse all articles >

    BROWSE ARTICLES
    AUTHOR INFORMATION
    Editorial Office
    CHA University, CHA School of Medicine Bundang Medical Center
    59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 13496, Korea
    Tel: +82-31-780-1924  Fax: +82-31-780-5269  E-mail: support@e-neurospine.org
    The Korean Spinal Neurosurgery Society
    #407, Dong-A Villate 2nd Town, 350 Seocho-daero, Seocho-gu, Seoul 06631, Korea
    Tel: +82-2-585-5455  Fax: +82-2-2-523-6812  E-mail: ksns1987@gmail.com
    Business License No.: 209-82-62443

    Copyright © The Korean Spinal Neurosurgery Society.

    Developed in M2PI

    Close layer
    prev next