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脊髓硬膜外脂肪增多症:减肥疗法。

Spinal Epidural Lipomatosis: Weight Loss Cure.

作者信息

Trungu Sokol, Forcato Stefano, Raco Antonino

机构信息

Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy; N.E.S.M.O.S. Department, Faculty of Medicine and Psychology, ''Sapienza,'' University of Rome, Sant'Andrea Hospital, Rome, Italy.

Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy; N.E.S.M.O.S. Department, Faculty of Medicine and Psychology, ''Sapienza,'' University of Rome, Sant'Andrea Hospital, Rome, Italy.

出版信息

World Neurosurg. 2019 May;125:368-370. doi: 10.1016/j.wneu.2019.02.051. Epub 2019 Feb 26.

Abstract

A 47-year-old male patient presented at our neurosurgery unit with neurogenic claudication symptoms. The patient had a history of low back pain and lower extremity pain for 2 years. He had a body mass index of 38. Magnetic resonance imaging of the lumbar spine demonstrated severe stenosis due to spinal epidural lipomatosis. The patient was treated conservatively, and after weight loss in 13 months (body mass index of 29) he had full recovery of neurologic symptoms. A follow-up magnetic resonance image obtained 14 months after showed complete resolution of spinal epidural lipomatosis.

摘要

一名47岁男性患者因神经源性间歇性跛行症状就诊于我院神经外科。患者有2年的腰背痛和下肢疼痛病史。他的体重指数为38。腰椎磁共振成像显示因脊髓硬膜外脂肪增多症导致严重狭窄。患者接受了保守治疗,在13个月体重减轻后(体重指数为29),神经症状完全恢复。14个月后获得的随访磁共振图像显示脊髓硬膜外脂肪增多症完全消退。

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