Clinical picture: epidural lipomatosis

A 63-year-old male with diabetes mellitus and hypertension was admitted to the hospital with a 1-year history of weakness and symptoms typical of Cushing's syndrome. On examination he had proximal muscle weakness and a sensory level at T6. Magnetic resonance imaging of the spine showed multiple...

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Bibliographic Details
Published in:The Lancet (British edition) 2001-12, Vol.358 (9297), p.1982-1982
Main Authors: Christopoulos, S, Minuk, J, Assimakopoulos, P, Kahn, S R
Format: Article
Language:English
Subjects:
Diabetes
Epidural Neoplasms - complications
Epidural Neoplasms - diagnosis
Epidural Neoplasms - surgery
Fatal Outcome
Humans
Hypertension
Illnesses
Lipoma - complications
Lipoma - diagnosis
Lipoma - surgery
Magnetic Resonance Imaging
Male
Middle Aged
NMR
Nuclear magnetic resonance
Older people
Spine
Thoracic Vertebrae
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Summary:A 63-year-old male with diabetes mellitus and hypertension was admitted to the hospital with a 1-year history of weakness and symptoms typical of Cushing's syndrome. On examination he had proximal muscle weakness and a sensory level at T6. Magnetic resonance imaging of the spine showed multiple vertebral fractures and posterior thoracic epidural lipomatosis with cord compression at T6 (figure).
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(01)06965-3