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.