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A Achene - One of the best experts on this subject based on the ideXlab platform.

  • cauda equina syndrome secondary to idiopathic spinal epidural Lipomatosis
    Spine, 2001
    Co-Authors: P Lisai, C Doria, L Crissantu, Giovanni Battista Meloni, M Conti, A Achene
    Abstract:

    Study Design. Three cases of idiopathic epidural Lipomatosis are reported. Objectives. Description of the relationship between spinal pathologic overgrowth of fat tissue and neurologic symptoms. Summary of Background Data. Idiopathic epidural Lipomatosis is a very rare condition; it is usually secondary to chronic steroid therapy or endocrinopathic diseases. Methods. Three men with a mean age of 58.5 years, who experienced intermittent claudication, bilateral radicular pain in both legs, and urinary dysfunction with hypoesthesia in the perineal region, were evaluated by plain radiography and magnetic resonance imaging, the results of which demonstrated a pathologic overgrowth of fat tissue in the spinal canal with a marked impingement of the dural sac. Obesity, endocrinopathic diseases, and chronic steroid therapy were excluded for all patients. Surgical treatment was performed by wide multilevel laminectomies, fat debulking, and instrumented posterolateral fusion. Results. After surgery there was a gradual improvement in symptoms and signs so that 2 years later the patients returned to daily activities and were neurologically normal. Conclusions. Spinal epidural Lipomatosis can be a cause of back pain but rarely radicular impingement. Magnetic resonance imaging is the procedure of choice. The treatment must be performed early by wide surgical decompression.

P Lisai - One of the best experts on this subject based on the ideXlab platform.

  • cauda equina syndrome secondary to idiopathic spinal epidural Lipomatosis
    Spine, 2001
    Co-Authors: P Lisai, C Doria, L Crissantu, Giovanni Battista Meloni, M Conti, A Achene
    Abstract:

    Study Design. Three cases of idiopathic epidural Lipomatosis are reported. Objectives. Description of the relationship between spinal pathologic overgrowth of fat tissue and neurologic symptoms. Summary of Background Data. Idiopathic epidural Lipomatosis is a very rare condition; it is usually secondary to chronic steroid therapy or endocrinopathic diseases. Methods. Three men with a mean age of 58.5 years, who experienced intermittent claudication, bilateral radicular pain in both legs, and urinary dysfunction with hypoesthesia in the perineal region, were evaluated by plain radiography and magnetic resonance imaging, the results of which demonstrated a pathologic overgrowth of fat tissue in the spinal canal with a marked impingement of the dural sac. Obesity, endocrinopathic diseases, and chronic steroid therapy were excluded for all patients. Surgical treatment was performed by wide multilevel laminectomies, fat debulking, and instrumented posterolateral fusion. Results. After surgery there was a gradual improvement in symptoms and signs so that 2 years later the patients returned to daily activities and were neurologically normal. Conclusions. Spinal epidural Lipomatosis can be a cause of back pain but rarely radicular impingement. Magnetic resonance imaging is the procedure of choice. The treatment must be performed early by wide surgical decompression.

Yoshiki Sugimura - One of the best experts on this subject based on the ideXlab platform.

  • coexistence of renal replacement Lipomatosis with xanthogranulomatous pyelonephritis
    International Journal of Urology, 2004
    Co-Authors: Yuko Sakata, N Kinoshita, Hiromi Kato, Yasushi Yamada, Yoshiki Sugimura
    Abstract:

    We report on a case of coexistence of replacement Lipomatosis with xanthogranulomatous pyelonephritis (XGP) in the same kidney associated with staghorn calculi. A 63-year-old man was admitted to hospital complaining of a right abdominal mass. Computed tomography (CT) showed renal parenchymal atrophy with extremely increased perirenal fat. Right nephrectomy was performed. Postoperative diagnosis was renal replacement Lipomatosis with XGP. Renal replacement Lipomatosis and XGP have several similarities in terms of clinical background and CT findings. Sometimes it is difficult to differentiate them from malignant diseases. It is extremely rare that both conditions coexist in the same kidney. To our knowledge, only one such case has been reported.

Salem Alowami - One of the best experts on this subject based on the ideXlab platform.

A Garciadiez - One of the best experts on this subject based on the ideXlab platform.

  • madelung s disease involving the tongue
    Journal of The American Academy of Dermatology, 2000
    Co-Authors: E Vargasdiez, E Dauden, Maria Jonescaballero, A Garciadiez
    Abstract:

    Madelung's disease or benign symmetric Lipomatosis is rare. Symmetric Lipomatosis of the tongue as an association of Madelung's disease is very rare; up to now only two cases of this association have been reported. We report the third case of Madelung's disease with involvement of the tongue in the form of macroglossia.