Open AccessResolution of idiopathic epidural lipomatosis after bariatric surgery: Case report and literature review
Author(s) -
Mohammad A Alsofyani,
Sultan Alsalmi,
Haifaa Malaekah,
Majed Alharthi,
Anouar Bourghli,
Ibrahim Obeid,
Louis Boissiére
Publication year - 2021
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_294_20
Subject(s) - medicine , lipomatosis , magnetic resonance imaging , surgery , sleeve gastrectomy , radiology , weight loss , pathology , gastric bypass , obesity
Spinal epidural lipomatosis (SEL) is traditionally a rare disorder defined as an abnormal accumulation of unencapsulated epidural fat. SEL can be classified into idiopathic and secondary. We report a 46-year-old obese male with idiopathic epidural lipomatosis with a clinical picture of bilateral L5 and S1 radiculopathy, with an L5 and S1 distribution. Magnetic resonance imaging (MRI) showed epidural lipomatosis at L4, L5, and S1. After 2-year of sleeve gastrectomy, his bilateral sciatic radiculopathy disappeared, and updated MRI showed complete resolution of epidural lipomatosis. We present a case of an unusual epidural lipomatosis, resolved completely by bariatric surgery. This case report set out the effect of metabolic surgery on the local and systemic metabolic process.