Skip to main content

Advertisement

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.