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Minimal Approach to Spinal Epidural Lipomatosis Using the Japanese Step Ladder Technique: A New Technique in 2 Cases

Author

Listed:
  • Karim Baayoud

    (Hospital Center of Wallonie and Picardie (CHWAPI), Belgium)

  • Michel Triffaux

    (Hospital Center of Wallonie and Picardie (CHWAPI), Belgium)

  • Triantafyllos Bouras

    (Hospital Center of Wallonie and Picardie (CHWAPI), Belgium)

  • Sarah Lonneville

    (Hospital Center of Wallonie and Picardie (CHWAPI), Belgium)

Abstract

Introduction: Spinal epidural lipomatosis (SEL) refers to a pathological condition characterized by an abnormal accumulation of fat within the epidural space. It’s a rare but well-known condition, that is mostly associated with long-term corticosteroid therapy or elevation of endogenous steroids. Objectives: We aim to present a comprehensive account of our experience with SEL, while also introducing a novel technique and its outcomes. Our approach is informed by a rigorous review of the relevant literature. Results: We report 2 cases of lipomatosis seen in the neurosurgery department. The first was a case of SEL due to obesity, manifested by intermittent claudication. The second case followed a lumbar arthrodesis, with clinical signs associated with radiculopathy. Both patients were treated conservatively, with no improvement, after which we opted for surgical treatment. The postoperative evolution of the 2 cases was marked by regression of symptoms in both patients.

Suggested Citation

  • Karim Baayoud & Michel Triffaux & Triantafyllos Bouras & Sarah Lonneville, 2024. "Minimal Approach to Spinal Epidural Lipomatosis Using the Japanese Step Ladder Technique: A New Technique in 2 Cases," European Journal of Medical and Health Sciences, European Open Science, vol. 6(2), pages 38-43, March.
    • Handle: RePEc:epw:ejmed0:v:6:y:2024:i:2:id:42045
    DOI: 10.24018/ejmed.2024.6.2.2045
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