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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

findings

Approximate extent

of lipomatosis

Imaging

modality

Ref.

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,

CT

[5]

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,

paraplegia

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.