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全胸段脊髓硬膜外脂肪增多症:罕见病例报告及文献综述

Holothoracic spinal epidural lipomatosis: Report of a rare presentation and review of literature.

作者信息

Ben Salah Maroua Hamadi, Ziaka Mairi

机构信息

Clinic for Geriatric Medicine, Center for Geriatric Medicine & Rehabilitation, Bruderholz Hospital, Switzerland.

Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Switzerland.

出版信息

SAGE Open Med Case Rep. 2025 May 13;13:2050313X251339051. doi: 10.1177/2050313X251339051. eCollection 2025.

Abstract

Spinal epidural lipomatosis refers to the abnormal accumulation of unencapsulated fat in the epidural space, posibly associated with spinal canal narrowing and compression of adjacent nerve structures. Risk factors for spinal epidural lipomatosis include older age, male sex, obesity, and systemic corticosteroid use. While spinal epidural lipomatosis typically involves the thoracic or lumbosacral regions of the spinal cord, there are no published cases involving the entire thoracic cord. This report presents the first case of spinal epidural lipomatosis affecting the whole thoracic cord, highlighting the complexity of its diagnosis and management.

摘要

脊髓硬膜外脂肪增多症是指硬膜外间隙中未被包裹的脂肪异常蓄积,可能伴有椎管狭窄及对相邻神经结构的压迫。脊髓硬膜外脂肪增多症的危险因素包括年龄较大、男性、肥胖及全身使用皮质类固醇。虽然脊髓硬膜外脂肪增多症通常累及脊髓的胸段或腰骶段,但尚无累及整个胸段脊髓的病例报道。本报告介绍了首例影响整个胸段脊髓的脊髓硬膜外脂肪增多症病例,突出了其诊断和治疗的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b11/12075965/d05c22b513ec/10.1177_2050313X251339051-fig1.jpg

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