椎管内硬膜外脂肪增多症1例与文献综述

Spinal epidural lipomatosis:one case report and literature review

摘要:

椎管内硬膜外脂肪增多症(spinal epidural lipomatosis, SEL)是椎管内硬膜外脂肪过多积聚引起的椎管内脂肪占位性病变，主要累及胸腰段椎管，可无明显症状或出现腰背部疼痛、麻木、下肢无力或反射异常等神经压迫症状，临床上较为少见。本科收治 1 例 SEL 患者，总结其临床资料及治疗效果并进行文献综述。

Abstract:

Spinal epidural lipomatosis (SEL) is an occupying lesion caused by excessive accumulation of extra-epidural fat in the ver- tebral canal, which mainly involving the thoracic lumbar canals. Clinically, it is rare condition, might present no obvious symptoms, or neu- rological symptoms in some extent, such as back pain, numbness, weakness of the lower extremities or abnormal reflexes. We have treated a SEL patient recently, now we report it and review the relevant literatures to introduce the pathogenesis, diagnosis, and treatment of SEL.