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Table 2 Symptoms and neurological findings.

From: Corticosteroid-induced spinal epidural lipomatosis in the pediatric age group: report of a new case and updated analysis of the literature

Pt. Symptoms Documented neurological
Approximate extent
of lipomatosis
1 Weakness/numbness
of LE
Motor deficit LE > UE,
dysesthesia LE & front of trunk
T1-T11 Myelogram [1]
2 Hip & low back pain,
LE weakness
LE motor deficit; ankle clonus,
Babinski sign
T1-L5 Myelogram,
3 LE & thorax pain; loss of function of LE, bowel, and bladder Paraplegia; sensory deficit below T6, poor anal sphincter tone T2-T6 Metrimazide CT myelogram [6]
4 LE weakness, paresthesia, bowel/bladder dysfunction Sensory deficit below T2-T3 T3-T9 MRI [7]
5 Back pain, paraplegia Weak tendon reflexes, sensory deficit to T6 T6-T7* CT [8]
6 Upper back and chest pain, paraplegia Flaccid paresis, Babinski sign, absent abdominal reflexes, decreased LE sense of vibration T1-T12 CT [9]
7 Back pain,
incontinence to urine,
LEs flaccid paresis, Babinski sign T11-L2/3* Myelogram, MRI [10]
8 Back pain, leg weakness Paraplegia T1-12* CT myelogram [15]
9 Lumbago   L3-S1* MRI [15]
10 Lumbago, mid-thoracic back pain, pain with walking   T4-8*, L4-S1* MRI [15]
11 Numbness Cutaneous sensory deficit T2-6* MRI [15]
12 Back pain,
gait disturbance
Sensory deficit to T6-T7,
UE strength 4/5, LE strength 1/5, absent knee & ankle DTRs, Babinski sign, absent abdominal reflexes
Entire spine MRI [11]
13 Back pain Neurological exam normal T1-L3+** MRI [12]
14 Back pain   T4-S1 MRI [13, 16]
15 Back pain   T7-T9 MRI [16]
16 Back pain, incontinence to stool and urine, paresthesias Increased DTRs LE,
loss of anal sphincter tone
T2- L5+** MRI [17]
17 Back pain,
radicular pain
  L4-5* MRI [17]
18 Low back pain   T2-S4/5 MRI [17]
19 Right LE weakness, left LE paresthesia, dysuria   T2-T11 MRI [14]
20 Low back pain Normal neurologic exam T1-S5 MRI This report
  1. *Extent of cord compression
  2. **Lipomatosis extended caudal to L5; exact extent not documented.
  3. Abbreviations: CT, computerized tomography; DTR; deep tendon reflex; LE, lower extremity; MRI, magnetic resonance imaging; n/d, not documented; UE, upper extremity.