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

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.

Spinal epidural lipomatosis(SEL)is an occupying lesion caused by excessive accumulation of extra-epidural fat in the vertebral canal,which mainly involving the thoracic lumbar canals.Clinically,it is rare condition,might present no obvious symptoms,or neurological 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.