Decompression of idiopathic lumbar epidural lipomatosis: diagnostic magnetic resonance imaging evaluation and review of the literature

医学 磁共振成像 腰椎 脂肪增多症 分级(工程) 减压 外科 放射科 体质指数 病理 工程类 土木工程
作者
Yoshinori Ishikawa,Yasuhiro Shimada,Naohisa Miyakoshi,Tetsuya Suzuki,Michio Hongo,Yuji Kasukawa,Kyoji Okada,Eiji Itoi
出处
期刊:Journal of neurosurgery [Journal of Neurosurgery Publishing Group]
卷期号:4 (1): 24-30 被引量:64
标识
DOI:10.3171/spi.2006.4.1.24
摘要

Object Idiopathic symptomatic spinal epidural lipomatosis (SEL) is a rare condition, and few reports have discussed diagnostic imaging criteria. To evaluate factors relating to its clinical symptoms, correlations between clinical features and the presence of spinal epidural fat were investigated, and the literature concerning idiopathic SEL was reviewed. Methods Morphological gradings of epidural fat were evaluated in seven patients with idiopathic SEL by using magnetic resonance (MR) imaging. In addition, body mass index (BMI), the number of involved vertebral levels, grade, and preoperative Japanese Orthopaedic Association (JOA) score were analyzed. Surgery resulted in symptomatic relief, with a mean JOA score recovery rate of 67.4%. Grading of epidural fat tended to display a slight negative correlation with preoperative JOA score, whereas a strong significant positive correlation was found between the number of involved vertebral levels and BMI. Conclusions The number of involved vertebral levels and obesity are strongly correlated, whereas severity of dural compression is not always significantly associated with neurological complications. These results indicate that epidural fat of the lumbar spine contributes to neurological deficits. In addition, weight-reduction therapy appears to decrease the number of vertebral levels involved. Magnetic resonance imaging–based grading is helpful for the diagnosis and evaluation of idiopathic lumbar SEL. Moreover, symptoms and neurological findings are important for determining the surgical approach.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
hdkkty发布了新的文献求助10
1秒前
111完成签到,获得积分20
4秒前
5秒前
kyt发布了新的文献求助10
6秒前
球球完成签到,获得积分10
6秒前
6秒前
SJAW完成签到,获得积分10
6秒前
嘎嘎嘎发布了新的文献求助10
8秒前
Akim应助花杨梅采纳,获得10
9秒前
10秒前
10秒前
梅花鹿发布了新的文献求助10
10秒前
潇潇发布了新的文献求助10
10秒前
13秒前
13秒前
xy820发布了新的文献求助10
14秒前
DDD42完成签到,获得积分20
14秒前
活力笑天发布了新的文献求助10
14秒前
挣扎毕业的中年少女完成签到 ,获得积分10
16秒前
嘎嘎嘎完成签到,获得积分10
16秒前
Owen应助加到几点呢采纳,获得10
16秒前
18秒前
无厘头大A发布了新的文献求助10
20秒前
小慧儿发布了新的文献求助20
21秒前
ycy完成签到,获得积分10
22秒前
23秒前
chongchong发布了新的文献求助20
23秒前
没烦恼发布了新的文献求助10
23秒前
zj发布了新的文献求助10
24秒前
Glowing完成签到,获得积分10
24秒前
25秒前
聪明可爱小绘理应助xy820采纳,获得10
25秒前
CC完成签到 ,获得积分10
25秒前
科研狗发布了新的文献求助10
25秒前
珠珠完成签到,获得积分10
26秒前
Chb发布了新的文献求助10
26秒前
hdkkty发布了新的文献求助10
27秒前
咚咚发布了新的文献求助10
28秒前
方文山发布了新的文献求助10
29秒前
reflux举报Crush_求助涉嫌违规
30秒前
高分求助中
Evolution 2001
Impact of Mitophagy-Related Genes on the Diagnosis and Development of Esophageal Squamous Cell Carcinoma via Single-Cell RNA-seq Analysis and Machine Learning Algorithms 2000
Black to Nature 1000
Decision Theory 1000
How to Create Beauty: De Lairesse on the Theory and Practice of Making Art 1000
Gerard de Lairesse : an artist between stage and studio 670
大平正芳: 「戦後保守」とは何か 550
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 2992970
求助须知:如何正确求助?哪些是违规求助? 2653384
关于积分的说明 7176200
捐赠科研通 2288659
什么是DOI,文献DOI怎么找? 1213162
版权声明 592659
科研通“疑难数据库(出版商)”最低求助积分说明 592198