EJMCR. 2019; 3(1): 12-15

Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report

Authors: Luna Bajracharya, Sharma Paudel.

ABSTRACT

Background: Spinal epidural lipomatosis (SEL) is an excessive fat deposition within the epidural space of spinal canal leading to compression of nervous structures and neurological manifestations. Exogenous glucocorticoid administration is the major cause of symptomatic SEL. The reported patient had SEL related to endogenous Cushing syndrome which is among few reported cases in the literature. Case presentation: A 14 year girl with features of Cushing syndrome had severe back pain and magnetic resonance imaging of spine showed SEL. Subsequently, computed tomography of abdomen showed right adrenal adenoma.The patient underwent adrenalectomy which improved her signs of hypercortisolism and SEL. Conclusion: In view of severe neurological deficits and therapeutic consequences, SEL should be considered in all patients with Cushing syndrome who present with symptoms of spinal cord compression. Correction of underlying endocrinopathy is imperative in management of SEL.

Keywords:
Spinal epidural lipomatosis, Cushing syndrome, adrenal adenoma, case report


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Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report


Authors
Luna Bajracharya
Department of Pediatrics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
PubMed articlesGoogle scholar articles

Sharma Paudel
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
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Correspondence to:
. Dr. Luna Bajracharya, Department of Pediatrics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal; luna.bajracharya@yahoo.com

Publication history
Published online 01 Jan 1970
Received 24 Sep 2018
Revised 17 Dec 2018
Accepted 18 Dec 2018
Published in print 31 Jan 2019

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Pubmed Style

Bajracharya L, Paudel S. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. EJMCR. 2019; 3(1): 12-15. doi:10.24911/ejmcr/173-1537696292


Web Style

Bajracharya L, Paudel S. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. http://www.ejmcr.com/?mno=9759 [Access: April 26, 2019]. doi:10.24911/ejmcr/173-1537696292


AMA (American Medical Association) Style

Bajracharya L, Paudel S. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. EJMCR. 2019; 3(1): 12-15. doi:10.24911/ejmcr/173-1537696292


Vancouver/ICMJE Style

Bajracharya L, Paudel S. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. EJMCR. (2019), [cited April 26, 2019]; 3(1): 12-15. doi:10.24911/ejmcr/173-1537696292


Harvard Style

Bajracharya, L. & Paudel, . S. (2019) Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. EJMCR, 3 (1), 12-15. doi:10.24911/ejmcr/173-1537696292


Turabian Style

Bajracharya, Luna, and Sharma Paudel. 2019. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. European Journal of Medical Case Reports, 3 (1), 12-15. doi:10.24911/ejmcr/173-1537696292


Chicago Style

Bajracharya, Luna, and Sharma Paudel. "Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report." European Journal of Medical Case Reports 3 (2019), 12-15. doi:10.24911/ejmcr/173-1537696292


MLA (The Modern Language Association) Style

Bajracharya, Luna, and Sharma Paudel. "Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report." European Journal of Medical Case Reports 3.1 (2019), 12-15. Print. doi:10.24911/ejmcr/173-1537696292


APA (American Psychological Association) Style

Bajracharya, L. & Paudel, . S. (2019) Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. European Journal of Medical Case Reports, 3 (1), 12-15. doi:10.24911/ejmcr/173-1537696292


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