Berenbaum F, Revel M, Deshays C, Rousselin B, Amor B
Clinique de Rhumatologie, Hôpital Cochin, Paris.
Rev Rhum Mal Osteoartic. 1992 Mar;59(3):225-7.
The case reported concerns an obese patient suffering from lumbo-radicular intermittent claudication due to lumbar epidural lipomatosis. Compression was revealed by magnetic resonance imaging which showed the existence of a hypersignal in weighted sequences in T1 situated in the epidural space and narrowing the dural sheath. Three cases of lumbar epidural lipomatosis related to obesity have already been described. Treatment in all three was surgical with the result assessed as good in one case and poor in two. The interest of the present case is demonstration of the cause and effect relationship between epidural lipomatosis and obesity as shown by complete restoration of the epidural space after a calorie-controlled diet, and the possibility of successful treatment by this technique.
该病例报告涉及一名肥胖患者，因腰椎硬膜外脂肪增多症患有腰神经根间歇性跛行。磁共振成像显示存在压迫，其在T1加权序列中显示硬膜外间隙存在高信号，使硬脊膜鞘变窄。此前已描述过3例与肥胖相关的腰椎硬膜外脂肪增多症病例。所有3例均采用手术治疗，1例效果评估为良好，2例效果不佳。本病例的意义在于证明了硬膜外脂肪增多症与肥胖之间的因果关系，如在控制热量饮食后硬膜外间隙完全恢复所示，以及通过该技术成功治疗的可能性。
