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A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis
Spinal epidural lipomatosis (SEL) is a rare condition caused by hypertrophic growth of epidural fat. The prevalence of SEL in the Western world is approximately 1 in 40 patients and is likely to increase due to current medical and socio-economic developments. Rarely, SEL can lead to rapid severe neu...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8781155/ https://www.ncbi.nlm.nih.gov/pubmed/35054059 http://dx.doi.org/10.3390/jcm11020366 |
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author | Dinger, Thiemo Florin Eerikäinen, Maija Susanna Michel, Anna Gembruch, Oliver Darkwah Oppong, Marvin Chihi, Mehdi Blau, Tobias Uerschels, Anne-Kathrin Pierscianek, Daniela Deuschl, Cornelius Jabbarli, Ramazan Sure, Ulrich Wrede, Karsten Henning |
author_facet | Dinger, Thiemo Florin Eerikäinen, Maija Susanna Michel, Anna Gembruch, Oliver Darkwah Oppong, Marvin Chihi, Mehdi Blau, Tobias Uerschels, Anne-Kathrin Pierscianek, Daniela Deuschl, Cornelius Jabbarli, Ramazan Sure, Ulrich Wrede, Karsten Henning |
author_sort | Dinger, Thiemo Florin |
collection | PubMed |
description | Spinal epidural lipomatosis (SEL) is a rare condition caused by hypertrophic growth of epidural fat. The prevalence of SEL in the Western world is approximately 1 in 40 patients and is likely to increase due to current medical and socio-economic developments. Rarely, SEL can lead to rapid severe neurological deterioration. The pathophysiology, optimal treatment, and outcome of these patients remain unclear. This study aims to widen current knowledge about this “SEL subform” and to improve its clinical management. A systematic literature review according to the PRISMA guidelines using PubMed, Scopus, Web of Science, and Cochrane Library was used to identify publications before 7 November 2021 reporting on acute/rapidly progressing, severe SEL. The final analysis comprised 12 patients with acute, severe SEL. The majority of the patients were male (9/12) and multimorbid (10/12). SEL mainly affected the thoracic part of the spinal cord (11/12), extending a median number of 7 spinal levels (range: 4–19). Surgery was the only chosen therapy (11/12), except for one critically ill patient. Regarding the outcome, half of the patients regained independence (6/11; = modified McCormick Scale ≤ II). Acute, severe SEL is a rare condition, mainly affecting multimorbid patients. The prognosis is poor in nearly 50% of the patients, even with maximum therapy. Further research is needed to stratify patients for conservative or surgical treatment. |
format | Online Article Text |
id | pubmed-8781155 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87811552022-01-22 A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis Dinger, Thiemo Florin Eerikäinen, Maija Susanna Michel, Anna Gembruch, Oliver Darkwah Oppong, Marvin Chihi, Mehdi Blau, Tobias Uerschels, Anne-Kathrin Pierscianek, Daniela Deuschl, Cornelius Jabbarli, Ramazan Sure, Ulrich Wrede, Karsten Henning J Clin Med Article Spinal epidural lipomatosis (SEL) is a rare condition caused by hypertrophic growth of epidural fat. The prevalence of SEL in the Western world is approximately 1 in 40 patients and is likely to increase due to current medical and socio-economic developments. Rarely, SEL can lead to rapid severe neurological deterioration. The pathophysiology, optimal treatment, and outcome of these patients remain unclear. This study aims to widen current knowledge about this “SEL subform” and to improve its clinical management. A systematic literature review according to the PRISMA guidelines using PubMed, Scopus, Web of Science, and Cochrane Library was used to identify publications before 7 November 2021 reporting on acute/rapidly progressing, severe SEL. The final analysis comprised 12 patients with acute, severe SEL. The majority of the patients were male (9/12) and multimorbid (10/12). SEL mainly affected the thoracic part of the spinal cord (11/12), extending a median number of 7 spinal levels (range: 4–19). Surgery was the only chosen therapy (11/12), except for one critically ill patient. Regarding the outcome, half of the patients regained independence (6/11; = modified McCormick Scale ≤ II). Acute, severe SEL is a rare condition, mainly affecting multimorbid patients. The prognosis is poor in nearly 50% of the patients, even with maximum therapy. Further research is needed to stratify patients for conservative or surgical treatment. MDPI 2022-01-12 /pmc/articles/PMC8781155/ /pubmed/35054059 http://dx.doi.org/10.3390/jcm11020366 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dinger, Thiemo Florin Eerikäinen, Maija Susanna Michel, Anna Gembruch, Oliver Darkwah Oppong, Marvin Chihi, Mehdi Blau, Tobias Uerschels, Anne-Kathrin Pierscianek, Daniela Deuschl, Cornelius Jabbarli, Ramazan Sure, Ulrich Wrede, Karsten Henning A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title | A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title_full | A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title_fullStr | A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title_full_unstemmed | A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title_short | A New Subform? Fast-Progressing, Severe Neurological Deterioration Caused by Spinal Epidural Lipomatosis |
title_sort | new subform? fast-progressing, severe neurological deterioration caused by spinal epidural lipomatosis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8781155/ https://www.ncbi.nlm.nih.gov/pubmed/35054059 http://dx.doi.org/10.3390/jcm11020366 |
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