Epidural Lipomatosis from Corticosteroids

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To the editor: The interesting case of corticosteroid-induced epidural lipomatosis reported by Drs. Butcher and Sahn in the January 1979 issue (1) is very similar to that reported in a renal transplant recipient (2). In the latter case as well, the myelographic findings indicated an entirely posterior extradural block from T1–2 to T9, which proved at surgery to be due to normal fat tissue. A laminectomy from C7 to L4 with removal of the ligamentum flavum and extradural fat resulted in cord pulsation only after the dura was slit. This suggests that the fat deposits encircled the dura asymmetrically, necessitating

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