요배부 통증 치료중 발견된 경막외 지방종증 - 증례 보고

• Published in: Korean journal of anesthesiology Vol. 35; no. 2; pp. 381 - 384
• Main Authors: 이상석, Sang Seock Lee, 하경호, Gyeong Ho Ha, 연준흠, Jun Heum Yon, 손지영, Ji Young Son, 홍기혁, Ki Hyuk Hong, 신동엽, Dong Yeop Shin
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회(구 대한마취과학회) 30-08-1998
• Subjects: Anesthetic technique; back pain; epidural; epidural lipomatosis; steroid. Complications
• ISSN: 2005-6419; 2005-7563

We experienced a case of lumbar epidural lipomatosis patient who had been treated with several epidural steroid injection for the management of lower back pain. This 67-years-old man, complained of lower back pain and radiating paresthetic pain to the dorsum of left foot. Epidural lipomatosis is a rare condition of focal or multiple deposition of excessive adipose tissue in epidural space. Since excessive deposited adipose tissue compresses the spinal cord or spinal root, patients complaint the atypical low back pain and low extremity radiculopathy which mimics the symptoms of spinal stenosis or herniated nucleus pulposus. In managing of lower back pain patient, especially who had been treated with steroid previously, we should consider that epidural lipomatois would be one of the cause. (Korean J Anesthesiol 1998; 35: 381∼384)