Spinal Epidural Lipomatosis

A 65-year-old man presented with simple neurogenic claudication for 3 yea rs. He chronically used steroid (betamethasone) medication for about 6 yea rs due to prurigo simplex. Imaging studies(myelography, CT, and MRI ) showed circumferential constriction of the central thecal sac at L5 by excessive epidural fat. After decompressive laminectomy and debulking of fat tissue, the symptom was subsided. The authors reviewed the literature relevant to spinal epidural lipomatosis.