Academy of Chiropractic

Quickie Consult 1344

Clinical Information 314 CI

From the Desk of Dr. Mark Studin

Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006

“Lumbar Ventral Lipomatosis”

 

 

“Getting 1 hug = Giving 10” Mark Studin 2021
 
Thank you Dr. Ted Showalter, a Trauma Qualified doctor from Tennessee for the images. Lipomatosis, is another name for epidural fat deposition. What makes this case unusual is the deposition anteriorly. Fat deposition is typically seen inside the Ligamentum Flavum. The RED arrow on the sagittal image points to L3, however the Lipomatosis can be seen from L2 - S1. Fat acts as a space occupying lesion, no different than a disc herniation or tumor. This patient needs to be worked up medically for adrenal issues, diabetes or some type of metabolic disorder as this is rarely seen in a 36-year old. 
  

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