Abstract
Spinal epidural lipomatosis is a rare accumulation of adipose in the epidural space which has been linked to corticosteroid use or Cushing’s disease which can progress clinically from mild stenosis to cord compression. We present a 54 year old male with past medical history of asthma, on daily inhaled corticosteroids, who presented with progressively worsening low back pain, bilateral radicular leg pain and claudication. Initial lumbar spine MRI showed disc bulge with mild narrowing of left L5-S1 neural foramen, L5-S1 facet hypertrophy, and minimal fat accumulation consistent with early signs of epidural lipomatosis.
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