Symptomatic deposition of epidural fat in a morbidly obese woman.

Abstract

A 33-year-old hypertensive, diabetic woman had a 6 year history of progressive lower extremity weakn ess . More recently she had developed dysesthetic pains in both lower extremities associated with urinary and fecal incontinence. Physical examination revealed a grossly obese female weighing 174 kg. Normal motor and sensory fu nction was noted in the upper extremi ties, but fl accid paralysis and areflex ia were evident in both lower extremities. Th ere was also fascicu lation of the quadriceps femoris muscle bod ies in response to direct percussion. Propri-