A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis

Spinal epidural lipomatosis (SEL) is a rare condition in which fat accumulates in the epidural space. Patients may be asymptomatic or present with neurologic symptoms if the spinal cord is compressed. Based on the pathophysiology of this condition, there are theorized effects that suggest a contrain...

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Detalles Bibliográficos
Autores principales: Ali, Haider, Huang, Jeff
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721870/
https://www.ncbi.nlm.nih.gov/pubmed/31523590
http://dx.doi.org/10.7759/cureus.5553
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author Ali, Haider
Huang, Jeff
author_facet Ali, Haider
Huang, Jeff
author_sort Ali, Haider
collection PubMed
description Spinal epidural lipomatosis (SEL) is a rare condition in which fat accumulates in the epidural space. Patients may be asymptomatic or present with neurologic symptoms if the spinal cord is compressed. Based on the pathophysiology of this condition, there are theorized effects that suggest a contraindication to epidural anesthesia. Due to the rarity of the condition, there is a lack of significant evidence in the literature regarding the efficacy of epidural analgesia or related complications in these patients. Herein, we have presented a patient with a prior diagnosis of spinal epidural lipomatosis and her course of anesthetic management during labor.
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spelling pubmed-67218702019-09-14 A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis Ali, Haider Huang, Jeff Cureus Anesthesiology Spinal epidural lipomatosis (SEL) is a rare condition in which fat accumulates in the epidural space. Patients may be asymptomatic or present with neurologic symptoms if the spinal cord is compressed. Based on the pathophysiology of this condition, there are theorized effects that suggest a contraindication to epidural anesthesia. Due to the rarity of the condition, there is a lack of significant evidence in the literature regarding the efficacy of epidural analgesia or related complications in these patients. Herein, we have presented a patient with a prior diagnosis of spinal epidural lipomatosis and her course of anesthetic management during labor. Cureus 2019-09-02 /pmc/articles/PMC6721870/ /pubmed/31523590 http://dx.doi.org/10.7759/cureus.5553 Text en Copyright © 2019, Ali et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Ali, Haider
Huang, Jeff
A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title_full A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title_fullStr A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title_full_unstemmed A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title_short A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis
title_sort case of epidural management in a pregnant patient with spinal epidural lipomatosis
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721870/
https://www.ncbi.nlm.nih.gov/pubmed/31523590
http://dx.doi.org/10.7759/cureus.5553
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