{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T04:26:01Z","timestamp":1769574361191,"version":"3.49.0"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThe most common cause of cauda equina compression in the elderly is lumbar spinal stenosis. Epidural lipomatosis is an additional known but rare cause of cauda equina compression readily diagnosed on MR studies. Notably, spinal canal decompression and direct excision of the epidural fat effectively manage this combined pathology.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 70-year-old male presented with progressive truncal obesity associated with refractory lumbar neurogenic claudication. The lumbar magnetic resonance imaging (MRI) showed excessive epidural fat extending from L4 to S2 resulting in thecal sac compression; this was confirmed on the MRI myelogram study. Following a decompressive laminectomy, the patient\u2019s cauda equina syndrome resolved.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nRecent weight gain with increased neurogenic claudication and the onset of a cauda equina syndrome may herald the presence of significant lumbar epidural lipomatosis. Here, laminectomy for excision of the excessive epidural fat resolved the patient\u2019s symptomatic spinal stenosis.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_840_2020","type":"journal-article","created":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T11:39:01Z","timestamp":1609846741000},"page":"7","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Epidural lipomatosis in elderly patient: A rare cause of cauda equina compression"],"prefix":"10.25259","volume":"12","author":[{"given":"Abiodun Idowu","family":"Okunlola","sequence":"first","affiliation":[{"name":"Department of Surgery, Federal Teaching Hospital, Ido Ekiti\/Afe Babalola University, Ado Ekiti, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tesleem Olayinka","family":"Orewole","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Federal Teaching Hospital, Ido Ekiti\/Afe Babalola University, Ado Ekiti, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia Kehinde","family":"Okunlola","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olakunle Fatai","family":"Babalola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Federal Teaching Hospital, Ido Ekiti\/Afe Babalola University, Ado Ekiti, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinola","family":"Akinmade","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Trauma, Afe Babalola University, Ado Ekiti, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"10.25259\/SNI_840_2020\/ref-1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.spinee.2004.05.252","article-title":"Spinal epidural lipomatosis: Case reports, literature review and meta-analysis","volume":"5","author":"Fogel","year":"2005","journal-title":"Spine J"},{"key":"10.25259\/SNI_840_2020\/ref-2","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1177\/2192568218793617","article-title":"Spinal Epidural lipomatosis: A review of pathogenesis, characteristics, clinical presentation, and management","volume":"9","author":"Kim","year":"2019","journal-title":"Global Spine J"},{"key":"10.25259\/SNI_840_2020\/ref-3","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.jor.2017.11.001","article-title":"Incidence of spinal epidural lipomatosis in patients with spinal stenosis","volume":"15","author":"Malone","year":"2018","journal-title":"J Orthop"},{"key":"10.25259\/SNI_840_2020\/ref-4","first-page":"e83069","article-title":"The clinical characteristics of spinal epidural lipomatosis in the lumbar spine","volume":"8","author":"Park","year":"2018","journal-title":"Anesth Pain Med"},{"key":"10.25259\/SNI_840_2020\/ref-5","first-page":"7","article-title":"Clinical implications of epidural fat in the spinal canal. A scanning electron microscopic study","volume":"60","author":"Reina","year":"2009","journal-title":"Acta Anaesthesiol Belg"},{"key":"10.25259\/SNI_840_2020\/ref-6","doi-asserted-by":"crossref","first-page":"e000599","DOI":"10.1136\/bmjdrc-2018-000599","article-title":"Volumetric evaluation of lumbar epidural fat distribution in epidural lipomatosis and back pain in patients who are obese: Introducing a novel technique (Fat Finder algorithm)","volume":"7","author":"Walker","year":"2019","journal-title":"BMJ Open Diabetes Res Care"},{"key":"10.25259\/SNI_840_2020\/ref-7","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s12891-018-1988-8","article-title":"Clinical and imaging characteristics in patients undergoing surgery for lumbar epidural lipomatosis","volume":"19","author":"Yasuda","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"10.25259\/SNI_840_2020\/ref-8","doi-asserted-by":"crossref","first-page":"408","DOI":"10.3171\/SPI.2008.9.11.408","article-title":"Lumbar nerve root compression due to extradural, intraforaminal lipoma, An underdiagnosed entity? Case report","volume":"9","author":"Zevgaridis","year":"2008","journal-title":"J Neurosurg Spine"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/epidural-lipomatosis-in-elderly-patient-a-rare-cause-of-cauda-equina-compression\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/epidural-lipomatosis-in-elderly-patient-a-rare-cause-of-cauda-equina-compression\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T11:39:04Z","timestamp":1609846744000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/epidural-lipomatosis-in-elderly-patient-a-rare-cause-of-cauda-equina-compression\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,5]]},"references-count":8,"alternative-id":["10.25259\/SNI_840_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_840_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,5]]},"article-number":"7"}}