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KMID : 1148020130380010001
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조선대학교의대논문집
2013 Volume.38 No. 1 p.1 ~ p.6
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Clinical Analysis of Spinal Epidural Lipomatosis according to Magnetic Resonance Imaging
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Wang Hui-Sun
Lee Seung-Myung
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Abstract
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Spinal epidural lipomatosis (SEL) is a rare condition of adipose tissue accumulation in the epidural space. A total of 2,309subjects from March 2011 to April 2012 were studied. We found different morphologic “variants” of dural sac compressionin grade III. The trifid type, resembling the letter “Y", was the most common form. The round type and the localized mass inlateral recess were seen in other cases. Surgical decompression was performed regardless of morphologic variants in SELgrade III with neurologic symptoms. All patients recovered from neurologic symptoms. In subjects who received adequateconservative treatment, decompressive surgery could be helpful in treatment of SEL grade III with neurologic symptoms.
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KEYWORD
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Spinal epidural lipomatosis, Clinical analysis, Magnetic resonance imaging
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