Ignite Creation Date:
2024-05-06 @ 3:25 PM
Last Modification Date:
2024-10-26 @ 1:49 PM
Study NCT ID:
NCT04622501
Status:
COMPLETED
Last Update Posted:
2020-11-12
First Post:
2020-08-10
Brief Title:
Spinal Epidural Lipomatosis a Case Report and Review of the Literature
Sponsor:
Canadian Memorial Chiropractic College
Organization:
Canadian Memorial Chiropractic College
Study Overview
Official Title:
Spinal Epidural Lipomatosis a Case Report and Review of the Literature
Status:
COMPLETED
Status Verified Date:
2020-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Introduction Lumbar spinal epidural lipomatosis SEL is a rare condition defined by an excessive deposition of adipose tissue in the lumbar spinal canal The objective of this case report is to document a clinical case of SEL presenting within a multidisciplinary spine clinic and to compare our clinical findings and management with the current literature
Case presentation A 51-year-old female presented at a spine clinic with low back pain bilateral leg pain and difficulty walking MR imaging of the lumbar spine showed L4-L5 and L5-S1 degenerative disk disease with evidence of severe central canal stenosis due to extensive epidural lipomatosis The patient was initially advised to lose weight undergo a course of physiotherapy and consult with the pain clinic Because of lack of improvement the patient was scheduled for L4-S1 posterior spinal decompression and L4-L5 posterior spinal instrumented fusion
Discussion The discussion will include the diagnosis of SEL imaging appearance its risk factors etiology and management
Conclusion This case report describes a case of lumbar spinal stenosis due to SEL with neurological symptoms Some risk factors have also been identified in the literature MRI is considered as the reference standard for its diagnosis The therapeutic approach of patients with SEL is not standardized Thus reporting and investigating the diagnostic process and treatment of this patient will positively contribute to better management for other future patients
Case presentation A 51-year-old female presented at a spine clinic with low back pain bilateral leg pain and difficulty walking MR imaging of the lumbar spine showed L4-L5 and L5-S1 degenerative disk disease with evidence of severe central canal stenosis due to extensive epidural lipomatosis The patient was initially advised to lose weight undergo a course of physiotherapy and consult with the pain clinic Because of lack of improvement the patient was scheduled for L4-S1 posterior spinal decompression and L4-L5 posterior spinal instrumented fusion
Discussion The discussion will include the diagnosis of SEL imaging appearance its risk factors etiology and management
Conclusion This case report describes a case of lumbar spinal stenosis due to SEL with neurological symptoms Some risk factors have also been identified in the literature MRI is considered as the reference standard for its diagnosis The therapeutic approach of patients with SEL is not standardized Thus reporting and investigating the diagnostic process and treatment of this patient will positively contribute to better management for other future patients
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None