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Vol. 13. Issue 6.
Pages 463-471 (January 2002)
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Vol. 13. Issue 6.
Pages 463-471 (January 2002)
Lipomatosis extradural espinal. Revisión de 108 casos. Caso inducido por aporte exógeno de ACTH
Spinal extradural lipomatosis. Revisión of 108 cases. Case induced by exogenous contribution of ACTH
L.F. Porras-Estrada
, J.M. Cabezudo-Artero, L. Lorenzana-Honrado, J.A. Rodríguez-Sánchez, F. Ugarriza-Echebarrieta
Servicios de Neurocirugía. Hospital Universitario Infanta Cristina. Badajoz
J. Díaz-Pérez de Madrid*
* Servicios de Endocrinología. Hospital Universitario Infanta Cristina. Badajoz
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Resumen

Presentamos un caso de Lipomatosis extradural espinal en un paciente previamente tratado de un glioma anaplásico cerebral mediante cirugía y radioterapia, que recibió tratamiento con ACTH durante un largo período.

Las manifestaciones clínicas fueron de raquialgia, paraparesia con dolor y disestesias en ambas extremidades inferiores.

El diagnóstico se realizó mediante Resonancia Magnética. La retirada progresiva del tratamiento con ACTH hasta su supresión logró la recuperación clínica completa del paciente y la desaparición en los estudios de neuroimagen de la compresión provocada por la lipomatosis.

Realizamos una revisión de la literatura aportando datos que consideramos de interés y que se derivan de la amplitud de la serie sometida a estudio.

Palabras clave:
Lipomatosis extradural
Raquis ACTH
Corticoterapia
Summary

Authors present a male patient with Spinal Extradural Lipomatosis, previously treated of a cerebral astrocytoma with surgery and radiotherapy, after which he received ACTH for a long period of time.

Clinical manifestations were rachialgia, paraparesia with pain and dysestesias in both lower extremities.

Diagnosis was carried out by Magnetic Resonance imaging.

After a progressive withdrawal of the treatment with ACTH, the patient achieved a complete recovery and neuroimaging studies showed the dissappearance of the compression caused by the lipomatosis.

We carry out a revision of the literature showing data we consider of interest derived from the wide series subjected to study.

Key words:
Extradural lipomatosis
Spine
ACTH
Steroid therapy

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