idiopathic lumbar epidural lipomatosis mimicking disc herniation: a case report

spinal epidural lipomatosis is a rare condition which is described as the accumulation of fat in the extradural territory and often causes dural impingement. spinal epidural lipomatosis has been implicated in causing a variety of neurologic impairments ranging from back pain, radiculopathy, claudication, myelopathy or even cauda equina syndrome. we report a 46-year-old female with obesity and a history of chronic back pain and radiculopathy who developed idiopathic spinal epidural lipomatosis diagnosed by magnetic resonance imaging. the purpose of this report is to present a case of spinal epidural lipomatosis presenting with symptomatic cord compression and also remind this rare condition as a the differential diagnosis of epidural lesions in patients with risk factors.