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요추 경막외 지방종증 : 3례 보고 Three Cases Report
최원식,김환정,김규현,옹상석,박종현 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.1
Study Design : The authors identified three cases of epidural spinal lipomatosis not associated with steroid use and endocrine disease. Objectives : To discuss the clinical manifestation, diagnosis and treatment of this rare epidural lipomatosis with neurologic symptoms. Summary of Background Data : Idiopathic spinal epidural lipomatosis rarly found and MRI is the most helpful diagnostic tool. Treatment is decompressive laminectomy, debulking of fat and weight reduction. Methods : Three epidural lipomatosis with neurologic symptoms were discussed. Presurgical clinical & laboratory findings, imaging studies and pathologic findings of surgical specimens were evaluated. Result : One case was treated with laminectomy and debulking of fat, the other two cases were treated with laminectomy and debulking of fat combined with treatment of other diseases of spine. Postoperatively neurologic symptoms were relieved and remained so in the last follow up more than two years postoperative. Conclusion : The authors report three cases of epidural compression of the thecal sac caused by idiopathic spinal epidural lipomatosis without history of steroid use or endocrinopathy and reviewed the literature.