Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report
Authors: Luna Bajracharya, Sharma Paudel
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
Authors
Correspondence to:
Dr Luna Bajracharya, Department of Pediatrics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal luna.bajracharya@yahoo.com
Publication history:
Received 24 Sep 2018
Revised 17 Dec 2018
Accepted 18 Dec 2018
Published online 12 Jan 2019
Published in print 31 Jan 2019
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
Bajracharya L, Paudel S. Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report. https://www.ejmcr.com/?mno=9759 [Access: April 26, 2024]. doi:
10.24911/ejmcr/173-1537696292
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
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, 2024]; 3(1): 12-15. doi:
10.24911/ejmcr/173-1537696292
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
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
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
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
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