Cauda equina compression after trauma: an unusual presentation of spinal epidural lipoma.

STUDY

DESIGN

A case report is presented.

OBJECTIVE

To describe a case of a spinal epidural lipoma presenting as a cauda equina compression syndrome secondary to trauma.

SUMMARY OF BACKGROUND DATA: Epidural lipomas are rare lesions that present as back pain with progressive neurologic symptoms.

METHODS

A patient presenting with cauda equina compression after an injury was investigated and treated surgically. The clinical follow-up period was 3 years.

RESULTS

Imaging of the lumbar spine showed an extradural mass compressing the cauda equina. The patient underwent emergency surgery, and an adipose mass was removed. Neurologic recovery was observed and maintained 3 years after surgery.

CONCLUSIONS

Previously asymptomatic epidural masses such as lipomas can present with neurologic deficit after trauma. Appropriate imaging can help in the diagnosis and management of such cases.