Eap C, Litre C-F, Duntze J, Theret E, Noudel R, Graftieaux J-P, Rousseaux P
Service de neurochirurgie, hôpital Maison-Blanche, 45, rue Cognacq-Jay, 51092 Reims, France.
Neurochirurgie. 2010 Feb;56(1):55-8. doi: 10.1016/j.neuchi.2009.11.001. Epub 2010 Jan 13.
We report the case of a patient with spinal cord compression evolving over 36 months with spastic paraparesis. Anatomic imagery showed epidural lipomatosis. No predisposing factors were found. Surgical treatment was decided. A T1-T10 laminectomy with excision of the surplus epidural fat was performed. Immediate and medium-term postsurgical follow-up was favorable with the disappearance of the pyramidal syndrome. Other cases found in literature and the principal predisposing factors are discussed.
我们报告了一例脊髓压迫症患者的病例，该患者在36个月内病情逐渐发展，出现痉挛性截瘫。解剖影像学显示硬膜外脂肪增多症。未发现诱发因素。决定进行手术治疗。实施了T1-T10椎板切除术并切除多余的硬膜外脂肪。术后即刻及中期随访情况良好，锥体综合征消失。文中还讨论了文献中发现的其他病例及主要诱发因素。
