{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T16:56:10Z","timestamp":1769532970231,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,1,17]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>A 73-year-old man underwent bilateral spinal decompression of L4\/5 for severe spinal canal stenosis, requiring minimal analgesia and providing immediate relief. Two days post-operatively, he presented with new onset bilateral leg pain and difficulty mobilising. MRI demonstrated spinal epidural lipomatosis (SEL), which was not present pre-operatively, at L5\/S1. Further surgery was performed with decompression of L5\/S1 through removal of epidural fat. At both 3\u2009weeks and 5\u2009months follow-up clinics, the patient was asymptomatic. To our knowledge, this is the first case of acute spinal epidural lipomatosis directly following spinal surgery. It is important to recognise SEL as a complication following spinal surgical intervention, due to the potential development of significant neurological consequences.<\/jats:p>","DOI":"10.1136\/bcr-2018-226985","type":"journal-article","created":{"date-parts":[[2019,2,16]],"date-time":"2019-02-16T04:44:11Z","timestamp":1550292251000},"page":"e226985","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Spinal epidural lipomatosis following bilateral spinal decompression surgery"],"prefix":"10.1136","volume":"12","author":[{"given":"Davyd","family":"Greenish","sequence":"first","affiliation":[{"name":"Medicine, Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Watura","sequence":"additional","affiliation":[{"name":"Medicine, Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Harding","sequence":"additional","affiliation":[{"name":"North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,15]]},"reference":[{"key":"2025082708535650000_12.2.e226985.1","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.spinee.2017.02.010","article-title":"The prevalence of spinal epidural lipomatosis on magnetic resonance imaging","volume":"17","author":"Theyskens","year":"2017","journal-title":"Spine J"},{"key":"2025082708535650000_12.2.e226985.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2004.05.252"},{"key":"2025082708535650000_12.2.e226985.3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/1471-2253-14-70","article-title":"Multiple epidural steroid injections and body mass index linked with occurrence of epidural lipomatosis: a case series","volume":"14","author":"Jaimes","year":"2014","journal-title":"BMC Anesthesiol"},{"key":"2025082708535650000_12.2.e226985.4","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1007\/s00586-011-1855-x","article-title":"Rapid progression of spinal epidural lipomatosis","volume":"21 Suppl 4","author":"Choi","year":"2012","journal-title":"Eur Spine J"},{"key":"2025082708535650000_12.2.e226985.5","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S1529-9430(02)00535-1","article-title":"Delayed postoperative spinal epidural hematomas","volume":"3","author":"Uribe","year":"2003","journal-title":"Spine J"},{"key":"2025082708535650000_12.2.e226985.6","doi-asserted-by":"crossref","first-page":"326","DOI":"10.3349\/ymj.2006.47.3.326","article-title":"Postoperative spinal epidural hematoma: risk factor and clinical outcome","volume":"47","author":"Yi","year":"2006","journal-title":"Yonsei Med J"},{"key":"2025082708535650000_12.2.e226985.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/foc.2004.16.4.9","article-title":"Spinal epidural lipomatosis: a review of its causes and recommendations for treatment","volume":"16","author":"Fassett","year":"2004","journal-title":"Neurosurg Focus"},{"key":"2025082708535650000_12.2.e226985.8","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000174116.74775.2e"},{"key":"2025082708535650000_12.2.e226985.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-002-1716-4"},{"key":"2025082708535650000_12.2.e226985.10","doi-asserted-by":"publisher","DOI":"10.1016\/0895-6111(94)90007-8"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:54:05Z","timestamp":1756310045000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2,15]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/bcr-2018-226985"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226985","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}