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Resolution of idiopathic epidural lipomatosis after bariatric surgery: Case report and literature review
Mohammad A Alsofyani1, Sultan Alsalmi2, Haifaa Malaekah3, Majed Alharthi4, Anouar Bourghli5, Ibrahim Obeid6, Louis Boissière6
1 Department of Surgery, College of Medicine and University Hospital, University of Hail, Hail, Kingdom of Saudi Arabia
2 Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
3 Department of Surgical, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah Bint Abdurrahman University, Riyadh, Kingdom of Saudi Arabia
4 Department of Surgical, Security Forces Hospital, Makkah, Kingdom of Saudi Arabia
5 Department of Orthopedic and Spinal Surgery, Kingdom Hospital, Riyadh, Kingdom of Saudi Arabia
6 Department of Spine Surgery, Specialist Terrefort Clinic, Bruges, France
Correspondence Address:
Dr. Mohammad A Alsofyani
Department of Surgery, College of Medicine and University Hospital, University of Hail, Hail, P. O. Box: 2440, Hail
Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ajns.AJNS_294_20
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Spinal epidural lipomatosis (SEL) is traditionally a rare disorder defined as an abnormal accumulation of unencapsulated epidural fat. SEL can be classified into idiopathic and secondary. We report a 46-year-old obese male with idiopathic epidural lipomatosis with a clinical picture of bilateral L5 and S1 radiculopathy, with an L5 and S1 distribution. Magnetic resonance imaging (MRI) showed epidural lipomatosis at L4, L5, and S1. After 2-year of sleeve gastrectomy, his bilateral sciatic radiculopathy disappeared, and updated MRI showed complete resolution of epidural lipomatosis. We present a case of an unusual epidural lipomatosis, resolved completely by bariatric surgery. This case report set out the effect of metabolic surgery on the local and systemic metabolic process. |
