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.