硬膜外脂肪增多症及相关的椎管狭窄——体重减轻的影响：一例报告
Epidural Lipomatosis and Associated Spinal Stenosis-The Impact of Weight Loss: A Case Report.
作者信息
Beckworth William J, McCarty Erin J, Garcia-Corrada Jose E, Holbrook John F
机构信息
Emory Spine Center, Atlanta, Georgia (WJB, JEG).
Emory Rehabilitation Department, Emory University, Atlanta, Georgia (EJM).
出版信息
Am J Lifestyle Med. 2017 Jan 12;11(6):511-514. doi: 10.1177/1559827616686764. eCollection 2017 Nov-Dec.
Abstract
Lumbar stenosis is a common radiographic finding that sometimes can be symptomatic. It usually results from a degenerative process of hypertrophic facets, ligamentum flavum hypertrophy, and disc involvement. A prominence of fat in the epidural space, epidural lipomatosis, can also be a contributing factor. This case report presents a 55-year-old man with radiographic improvement of epidural lipomatosis and stenosis from dietary weight loss. Given the rising obesity epidemic, practitioners should be cognizant of epidural lipomatosis and consider weight loss as a possible treatment option.
摘要
腰椎管狭窄是一种常见的影像学表现，有时会出现症状。它通常由小关节肥大、黄韧带肥厚和椎间盘受累的退变过程引起。硬膜外间隙脂肪增多，即硬膜外脂肪增多症，也可能是一个促成因素。本病例报告介绍了一名55岁男性，通过饮食减肥使硬膜外脂肪增多症和狭窄在影像学上得到改善。鉴于肥胖症的流行趋势不断上升，医生应认识到硬膜外脂肪增多症，并将减肥作为一种可能的治疗选择。
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