Yoo Je Chul, Choi Jeong Jae, Lee Dong Woo, Lee Sang Pyung
Department of Neurosurgery, Cheju Halla Hospital, Jeju, Korea.
J Korean Neurosurg Soc. 2014 Jun;55(6):365-9. doi: 10.3340/jkns.2014.55.6.365. Epub 2014 Jun 30.
Spinal epidural lipomatosis (SEL) is a rare disorder, regarded in literature as a consequence of administration of exogenous steroids, associated with a variety of systemic diseases, endocrinopathies and the Cushing's syndrome. Occasionally, SEL may occur in patients not exposed to steroids or suffering from endocrinopathies, namely, idiopathic SEL. Thus far, case studies of SEL among Korean have been published rather sporadically. We reviewed the clinical features of SEL cases, among Koreans with journal review, including this report of three operated cases. According to this study, there were some differences between Korean and western cases. Koreans had higher incidences of idiopathic SEL, predominant involvement in the lumbar segments, very few thoracic involvement and lower MBI, as opposed to westerners.
脊髓硬膜外脂肪增多症（SEL）是一种罕见的疾病，在文献中被认为是外源性类固醇给药的结果，与多种全身性疾病、内分泌疾病和库欣综合征有关。偶尔，SEL也可能发生在未接触类固醇或患有内分泌疾病的患者中，即特发性SEL。到目前为止，韩国人SEL的病例研究发表得相当零散。我们通过期刊回顾，对韩国人SEL病例的临床特征进行了回顾，包括本报告中的三例手术病例。根据这项研究，韩国病例和西方病例之间存在一些差异。与西方人相比，韩国人特发性SEL的发病率更高，主要累及腰椎节段，很少累及胸椎，且平均体重指数较低。
