Spinal Epidural lipomatosis due to adrenal cortisol secreting adenoma in a 14 year old girl - a case report
作者: Luna BajracharyaSharma Paudel
作者单位: 1Department of Pediatrics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
2Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
刊名: European Journal of Medical Case Reports, 2019, Vol.3 (1), pp.12-15
来源数据库: Discover STM Publishing Ltd
DOI: 10.24911/ejmcr/173-1537696292
关键词: Spinal epidural lipomatosisCushing syndromeAdrenal adenomaCase report
原始语种摘要: Background: Spinal epidural lipomatosis (SEL) is an excessive fat deposition within the epidural space of spinal canal leading to compression of nervous structures and neurological manifestations. Exogenous glucocorticoid administration is the major cause of symptomatic SEL. The reported patient had SEL related to endogenous Cushing syndrome which is among few reported cases in the literature.Case presentation: A 14 year girl with features of Cushing syndrome had severe back pain and magnetic resonance imaging of spine showed SEL. Subsequently, computed tomography of abdomen showed right adrenal adenoma.The patient underwent adrenalectomy which improved her signs of hypercortisolism and SEL.Conclusion: In view of severe neurological deficits and therapeutic consequences, SEL should be...
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  • adrenal 肾上腺
  • lipomatosis 脂肪过多症
  • adenoma 腺瘤
  • endocrinopathy 内分泌病
  • cortisol 氢化可的松
  • presentation 提示
  • endogenous 内成的
  • spinal 脊柱的
  • nervous 神经的