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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.1 pp.1-6
DOI :

척추 경막외 지방종의 MR Imaging에 따른 임상적 분석

왕희선, 이승명*
조선대학교 의과전문대학원 신경외과 교실

Clinical Analysis of Spinal Epidural Lipomatosis according to Magnetic Resonance Imaging

Seung myung Lee*, Huisun Wang
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Republic of Korea
(Received February 12, 2013; Accepted March 15, 2013)

Abstract

Spinal epidural lipomatosis (SEL) is a rare condition of adipose tissue accumulation in the epidural space. A total of 2,309subjects from March 2011 to April 2012 were studied. We found different morphologic “variants” of dural sac compressionin grade III. The trifid type, resembling the letter “Y", was the most common form. The round type and the localized mass inlateral recess were seen in other cases. Surgical decompression was performed regardless of morphologic variants in SELgrade III with neurologic symptoms. All patients recovered from neurologic symptoms. In subjects who received adequateconservative treatment, decompressive surgery could be helpful in treatment of SEL grade III with neurologic symptoms.

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