Abstract

The patient we report is a 59-year-old male with lumbar radiculopathy due to epidural mass lipoma associated with unilateral posterior facet joint ostheoarthritis unresponsive to conservative treatment. Elective surgical intervention with right laminectomy, facetectomy, and foraminotomy for resection of the mass was performed. An encapsulated lipomatous lesion was excised. Pathohistological findings revealed true lipomatous tissue. Our case report increase suspicion for this rare spinal pathology on patients with lumbar radiculopathy and epidural mass diagnosed by MRI and histopathology. We strongly suggest operative treatment for this kind of symptomatic spinal epidural lesions.

Keywords: Degenerative osteoarthritis; Lumbar radiculopathy; Lipoma