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What is Epidural Lipomatosis?
Epidural Lipomatosis is a pathological consideration of the thorn in which there is overgrowth of fat tissue in and around the spine . This condition arises due to abnormal levels of fat which spread over a wide area especially in the backbone . This dispersion of adipose tissue is not in a specific radiation diagram but is unevenly distributed.(1)These fatty tissue sometimes even invade the muscle tissue as well .
The main movement for Epidural Lipomatosis is believed to be excessive use of steroids lead in abnormal degree of steroid hormone in the body . This resultant in compression of the spinal cord causing a variety of neurological symptoms including pain , spiritlessness , and prickle . The inordinate utilisation of steroids resulting in Epidural Lipomatosis may be due to some medical experimental condition requiring excessive use of sex hormone .
Abnormal levels of steroids can also be produced within the body itself due to some wellness experimental condition . There are also some cases where steroid hormone are not responsible for development of Epidural Lipomatosis . These are prognosticate Idiopathic Epidural Lipomatosis . The elderly universe is most likely to suffer from Epidural Lipomatosis . This condition can be treated both conservatively as well as surgically reckon on the severity of the condition and the point of stenosis due to Epidural Lipomatosis .
What Causes Epidural Lipomatosis?
What exactly causes Epidural Lipomatosis is not yet bang , although Epidural Lipomatosis is associated with the pursual :
What are the Symptoms of Epidural Lipomatosis?
As express , individuals with Epidural Lipomatosis have excessive roly-poly deposition in the extradural space which is the outermost stratum of the rachis resulting in compression of the spinal electric cord . The most common area where Epidural Lipomatosis occurs is the thoracic thorn and the lumbar spine . This compaction of the spine do symptoms which are neurological in nature and admit :
How is Epidural Lipomatosis Diagnosed?
to name Epidural Lipomatosis , the treating physician will begin by taking a detailed history of the patient as to when the symptom started and about any history of chronic steroid use . Once history taking is over , then a thorough physical examination is do to look for areas of spiritlessness and tingling and also signs of altered reflexes .
In case if Epidural Lipomatosis is suspected , then further investigations in the form of radiological study of the spine in the form of ex - ray , CT and MRI scans may be done.(3)Myelography may also be done to see if there is any kind of compression of the spine cause by the fatso deposit .
Once fatso deposit are seen on the radiological studies , then a tissue paper biopsy of the fatty tissue paper is done where a tissue of the fatso deposit is postulate and sent for analysis . The results of all these studies confirm the diagnosis of Epidural Lipomatosis .
How is Epidural Lipomatosis Treated?
As stated , Epidural Lipomatosis can be treated both conservatively as well as surgically . materialistic approaches to treat Epidural Lipomatosis may include use of medication that lour the sex hormone levels in the body thus reducing the buildup of fat around the epidural infinite of the spine . However , before move for this plan of attack it is important to regulate the cause of the sex hormone usance , have in mind the underlying shape for which the steroid was given in the first topographic point .
If fleshiness is the lawsuit of Epidural Lipomatosis then losing exercising weight in a goodly manner is the best treatment approach to handle Epidural Lipomatosis . If there are abnormal levels of steroid hormone produce in the body then finding the cause of this overproduction and treating it is the good room to treat Epidural Lipomatosis .
If conservative approaches give way to provide any succour of symptom of extradural lipomatosis then the surgical choice let in a surgical operation anticipate decompressive laminectomy.(1)This subprogram aid relieve atmospheric pressure put on the spinal cord by the fatty tissue paper due to Epidural Lipomatosis and thus free the symptoms . This surgery is mostly done in patients who do not have a known case for Epidural Lipomatosis and have severe symptoms due to this condition .
Postprocedure , the patient will have to undergo encompassing forcible therapy to improve strength and flexibleness of the spine and reduce pain and discomfort . The patient will have to abstain from any sound lifting or strenuous activity until the wound heals and the patient has gained enough strength of the backbone . Diligent followups postsurgery and regular screenings are always recommended to see any star sign of recurrence of Epidural Lipomatosis .
What is the Prognosis of Epidural Lipomatosis
The prognosis of Epidural Lipomatosis depends on various factor and let in
Epidural Lipomatosis is a circumstance which can be regale by both conservative and surgical approaches depend on the cause of t he shape and the rigorousness of the symptoms . With persevering followups and close screenings an individual office treatment can be successfully process from Epidural Lipomatosis .
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