All issues > Volume 29(7); 1986

Case Report

J Korean Pediatr Soc. 1986;29(7):784-790. Published online July 31, 1986.

Adrenal Cortical Adenoma Associated with Spinal Epidural Lipomatosis and Paraplegia.

Il Whan Kim¹, Chul Hoe Koo¹, Jae Sun Park¹, Sung Uhn Baek², Sung Do Lee², Kyu Ho Lee², Jae Do Kim², Bang Hur³, In Sun Jun³

¹Department of Pediatrics, Kosin Medical College, Busan, Korea
²Department of Surgery, Kosin Medical College, Busan, Korea
³Department of Pathology, Kosin Medical College, Busan, Korea

Abstract

A 14 year old girl was admitted because of severe obesity, respiratory difficulty and weakness of legs with edema. Diagnosis of Cushing* s syndrome by left adrenal adenoma was made by hormonal assay, abdominal C-T and surgery. 1 week after adrenalectomy, she developed paraplegia which was caused by massive deposition of fat in the spinal epidural space and compression of thoracic spinal cord. She was successfully treated by left adrenalectomy and total laminectomy of T2 to T9 vetebra with removal of epidural fat pad and has been followed up with gradual improve- ment in walking, Cushingoid appearance for the next 4 months and she recovered completely 11 months after operation.

Keywords :Adrenal cortical adenoma; Cushing’s Syndrome, Spinal epidural lipomatosis; Paraplegia.