Lipomatose epidural como diagnóstico diferencial de compressão medular
Palavras-chave:
Lipomatose, espinal, epidural, paraparesiaResumo
Lipomatose epidural é a doença causada pelo aumento da quantidade de gordura no espaço epidural da coluna vertebral, levando à compressão medular ou radicular. A medula toracolombar é a mais comumente envolvida. É geralmente encontrada em homens. As principais causas são a obesidade, altos níveis de corticoides exógenos ou endógenos e hipotiroidismo. Manifesta-se como mielopatia compressiva ou das raízes da cauda equina. Apresentamos um relato de caso de compressão medular de difícil diagnóstico clínico/radiológico e etmológico na coluna dorsal.
Referências
Robertson SC, Traynelis VC, Follett KA, Menezes AH. Idiopathic spinal epidural lipomatosis. Neurosurgery 1997;41(1):68–74, discussion 74–75.
Koch CA, Doppman JL, Watson JC, Patronas NJ, Nieman LK. Spinal epidural lipomatosis in a patient with the ectopic corticotropin syndrome. N Engl J Med 1999;341(18):1399–1400.
Lévy-Weil FE, Feldmann JL. Lipomatose épidurale. Presse Med 2000;29(9):469–475.
Fassett DR, Schmidt MH. Spinal epidural lipomatosis: a review of its causes and recommendations for treatment. Neurosurg Focus 2004;16(4):E11.
Dihlmann SW, Mayer HM. [Lumbar epidural lipomatosis]. Z Rheumatol 1995;54(6):417–423.
López-González A, Resurrección Giner M. Idiopathic spinal epidural lipomatosis: urgent decompression in an atypical case. Eur Spine J 2008;17(Suppl 2):S225–S227.
Dumont-Fischer D, Rat AC, Saidenberg-Kermanac’h N, Laurent S, Cohen R, Boissier MC. Spinal epidural lipomatosis revealing endogenous Cushing’s syndrome. Joint Bone Spine 2002;69(2): 222–225.
Tavares, Cléciton Braga et al. Lipomatose epidural idiopática familiar: relato de três casos e revisão da literatura. Arquivos Brasileiros de Neurocirurgia, Rio de Janeiro, p. 220–224, 2015.
Lee SB, Park HK, Chang JC, Jin SY. Idiopathic thoracic epidural lipomatosis with chest pain. J Korean Neurosurg Soc 2011;50(2): 130–133.
Borré DG. Epidural lipomatosis. J Neurosurg Spine 2007;7(4): 463–464.
Oikonomou A, Birbilis T, Gymnopoulou E, Prassopoulos P. Paget disease of the spine manifested by thoracic and lumbar epidural lipomatosis: magnetic resonance imaging findings. Spine 2007; 32(25):E789–E792.
Kuhn MJ, Youssef HT, Swan TL, Swenson LC. Lumbar epidural lipomatosis: the “Y” sign of thecal sac compression. Comput Med Imaging Graph 1994;18(5):367–372.
Badami JP, Hinck VC. Symptomatic deposition of epidural fat in a morbidly obese woman. AJNR Am J Neuroradiol 1982;3(6): 664–665.
Haddad SF, Hitchon PW, Godersky JC. Idiopathic and glucocorticoid-induced spinal epidural lipomatosis. J Neurosurg 1991; 74(1):38–42.
Sairyo K, Sakai T, Higashino K, Hirao B, Katoh S, Yasui N. Minimally invasive excision of lumbar epidural lipomatosis using a spinal endoscope. Minim Invasive Neurosurg 2008; 51(1):43–46.
Frank E. Endoscopic suction decompression of idiopathic epidural lipomatosis. Surg Neurol 1998;50(4):333– 335, discussion 335.
Payer M, Van Schaeybroeck P, Reverdin A, May D. Idiopathic symptomatic epidural lipomatosis of the lumbar spine. Acta Neurochir (Wien) 2003;145(4):315–320, discussion 321.
Lisai P, Doria C, Crissantu L, Meloni GB, Conti M, Achene A. Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis. Spine 2001;26(3):307–309.
Min WK, Oh CW, Jeon IH, Kim SY, Park BC. Decompression of idiopathic symptomatic epidural lipomatosis of the lumbar spine. Joint Bone Spine 2007;74(5):488–490.
