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Year 2019, Volume: 11 Issue: 1, 41 - 47, 25.03.2019
https://doi.org/10.18521/ktd.420560

Abstract

References

  • Referans1 B. Alicioglu, A. Sarac, , B. Tokuc, Does abdominal obesity cause increase in the amount of epidural fat?, Eur Spine J. (2008);17(10):1324-8
  • Referans2 H.T. Wu, M.E. Schweitzer, L. Parker, Is epidural fat associated with body habitus?, J Comput Assist Tomogr. (2005);29(1):99-102)
  • Referans3 M. Luna-Luna, A. Medina-Urrutia, G. Vargas-Alarcon, F. Coss-Rovirosa, J. Vargas-Barron, O. Perez-Mendez, Adipose Tissue in Metabolic Syndrome: Onset and Progression of Atherosclerosis, Archives of Medical Research, 46 (2015) 392-407
  • Referans4 S. Borruel, E. Fernandez-Duran, M. Alpanes, D. Marti, F. Alvarez-Blasco, M. Luque-Ramirez, H. F. Escobar-Morreale, Global Adiposity and Thickness of Intraperitoneal and Mesenteric Adipose Tissue Depots Are Increased in Women With Polycystic Ovary Syndrome (PCOS), J Clin Endocrinol Metab, March 2013, 98(3):1254–1263.
  • Referans5 W. Shen , M. Punyanitya , Z. Wang , et al. Total body skeletal muscle and adipose tissue volumes: estimation from a single abdominal cross-sectional image. J Appl Physiol (1985). 2004;97(6):2333-2338.
  • Referans6 S. Lim, J.P. Despres, K.K. Koh, Prevention of atherosclerosis in overweight/obese patients: in need of novel multi-tar¬geted approaches, Circ J 2011;75:1019-27.
  • Referans7 S. Lim, Ectopic Fat Assessment Focusing on Cardiometabolic and Renal Risk, Endocrinol Metab 2014;29:1-4
  • Referans8 H.L. Chughtai, T.M. Morgan, M. Rocco, B. Stacey, T.E. Brinkley, J. Ding, B. Nicklas, C. Hamilton, W.G. Hundley, Renal sinus fat and poor blood pressure control in middle-aged and elderly individuals at risk for cardiovascular events, Hypertension 2010;56:901-6.)
  • Referans9 P. Lisai, C. Coria, L. Crissantu, G. Meloni, M. Conti, A. Achene, Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis, Spine 2001, 26:307–309
  • Referans10 F. Maillot, D. Mulleman, S. Mammou,P. Goupille, J.P. Valat. Is epidural lipomatosis associated with abnormality of body fat distribution? A case repor. Eur Spine J. 2006, Feb; 15(1): 105–108
  • Referans11 A.C. Borstlap, W.J. van Rooij, M. Sluzewski , A.C. Leyten, G. Beute, Reversibility of lumbar epidural lipomatosis in obese patients after weight-reduction diet, Neuroradiology 1995, 37:670–673
  • Referans12 R. Gupta, A.N. Kumar, V. Gupta, S.M. Madhavan, S.K. Sharma, An unusual cause of paraparesis in a patient on chronic steroid therapy, J Spinal Cord Med 2007, 30:67–69)
  • Referans13 W.K. Min, C.W. Oh, I.H. Jeon, S.Y. Kim, B.C. Park, Decompression of idiopathic symptomatic epidural lipomatosis of the lumbar spine, Joint Bone Spine 2007, 74:488–490
  • Referans14 A. Onat, G. Hergenc, A. Karabulut, A. Albayrak, G. Can, Z. Kaya , Serum sex hormone-binding globulin, a determinant of cardiometabolic disorders independent of abdominal obesity and insulin resistance in elderly men and women, Metabolism 2007, 56:1356–1362
  • Referans15 R. Wolfram-Gabel, R. Beaujeux, M. Fabre, P. Kehrli, J.L. Dietemann, P. Bourjat, Histologic characteristics of posterior lumbar epidural fatty tissue, J Neuroradiol 1996, 23:19–25
  • Referans16 Y.Y. Chau, R. Bandiera, A. Serrels, O. M. Martínez-Estrada, W. Qing, M. Lee, J. Slight, A. Thornburn, R. Berry, S. McHaffie, R.H. Stimson, B.R. Walker, R.M. Chapuli, A.Schedl, N. Hastie, Visceral and subcutaneous fat have different origins and evidence supports a mesothelial source, Nat Cell Biol. 2014 April, 16(4): 367–375

Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View

Year 2019, Volume: 11 Issue: 1, 41 - 47, 25.03.2019
https://doi.org/10.18521/ktd.420560

Abstract

Objective: We
evaluated adipose tissue distribution in different anatomical localizations by comparing
with epidural fat tissue.



Methods:
Sixty patients’ (28 female and 32
male) included in our study had abdominal computerized tomography and lumbar
magnetic resonance images evaluated retrospectively. Subcutaneous and
intraabdominal fat tissue thickness was compared with perirenal and epidural
fat. The relationship with demographic characteristics of patients was
investigated.



Results:
Mean value of subcutaneous fat thicknesses were higher in females (29.9±24.2 mm
in females and 16.2±24.5 mm in males), while perirenal fat tissue area was
higher in males than females (2118.4±2327.1 mm2 and 1204.1±851.3 mm2
respectively). There was no significant difference in intraabdominal and
perirenal fat tissue measurements according to gender (p=0.407, p=0.390;
respectively). Also subcutaneous, intraabdominal and perirenal fat tissue
measurements showed increments in association with gender (r=0.33, p=0.010;
r=0.37, p=0.004; r=0.51, p=<0,001; respectively); however no relationship was
detected with epidural fat area (p=0.519). Subcutaneous and intraabdominal fat
thicknesses were not related with epidural fat (p values 0.434 and 0.271,
respectively); and there was a statistical relationship between perirenal and
epidural fat (p=0.010).



Conclusions: Increases
in subcutaneous and intraabdominal fat tissue thickness with waist
circumference was an expected finding, but no correlation was detected with
epidural fat. Thus, we think that the amount of epidural fat does not change
with obesity. Also, we concluded that while perirenal fat measurements were
higher in the male group and correlated with epidural fat, androgenic effects
can play a role in changing the amount of perirenal and epidural fat tissue. This
result may be helpful in management of epidural pathologies, though there is a
need for supportive studies.   

References

  • Referans1 B. Alicioglu, A. Sarac, , B. Tokuc, Does abdominal obesity cause increase in the amount of epidural fat?, Eur Spine J. (2008);17(10):1324-8
  • Referans2 H.T. Wu, M.E. Schweitzer, L. Parker, Is epidural fat associated with body habitus?, J Comput Assist Tomogr. (2005);29(1):99-102)
  • Referans3 M. Luna-Luna, A. Medina-Urrutia, G. Vargas-Alarcon, F. Coss-Rovirosa, J. Vargas-Barron, O. Perez-Mendez, Adipose Tissue in Metabolic Syndrome: Onset and Progression of Atherosclerosis, Archives of Medical Research, 46 (2015) 392-407
  • Referans4 S. Borruel, E. Fernandez-Duran, M. Alpanes, D. Marti, F. Alvarez-Blasco, M. Luque-Ramirez, H. F. Escobar-Morreale, Global Adiposity and Thickness of Intraperitoneal and Mesenteric Adipose Tissue Depots Are Increased in Women With Polycystic Ovary Syndrome (PCOS), J Clin Endocrinol Metab, March 2013, 98(3):1254–1263.
  • Referans5 W. Shen , M. Punyanitya , Z. Wang , et al. Total body skeletal muscle and adipose tissue volumes: estimation from a single abdominal cross-sectional image. J Appl Physiol (1985). 2004;97(6):2333-2338.
  • Referans6 S. Lim, J.P. Despres, K.K. Koh, Prevention of atherosclerosis in overweight/obese patients: in need of novel multi-tar¬geted approaches, Circ J 2011;75:1019-27.
  • Referans7 S. Lim, Ectopic Fat Assessment Focusing on Cardiometabolic and Renal Risk, Endocrinol Metab 2014;29:1-4
  • Referans8 H.L. Chughtai, T.M. Morgan, M. Rocco, B. Stacey, T.E. Brinkley, J. Ding, B. Nicklas, C. Hamilton, W.G. Hundley, Renal sinus fat and poor blood pressure control in middle-aged and elderly individuals at risk for cardiovascular events, Hypertension 2010;56:901-6.)
  • Referans9 P. Lisai, C. Coria, L. Crissantu, G. Meloni, M. Conti, A. Achene, Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis, Spine 2001, 26:307–309
  • Referans10 F. Maillot, D. Mulleman, S. Mammou,P. Goupille, J.P. Valat. Is epidural lipomatosis associated with abnormality of body fat distribution? A case repor. Eur Spine J. 2006, Feb; 15(1): 105–108
  • Referans11 A.C. Borstlap, W.J. van Rooij, M. Sluzewski , A.C. Leyten, G. Beute, Reversibility of lumbar epidural lipomatosis in obese patients after weight-reduction diet, Neuroradiology 1995, 37:670–673
  • Referans12 R. Gupta, A.N. Kumar, V. Gupta, S.M. Madhavan, S.K. Sharma, An unusual cause of paraparesis in a patient on chronic steroid therapy, J Spinal Cord Med 2007, 30:67–69)
  • Referans13 W.K. Min, C.W. Oh, I.H. Jeon, S.Y. Kim, B.C. Park, Decompression of idiopathic symptomatic epidural lipomatosis of the lumbar spine, Joint Bone Spine 2007, 74:488–490
  • Referans14 A. Onat, G. Hergenc, A. Karabulut, A. Albayrak, G. Can, Z. Kaya , Serum sex hormone-binding globulin, a determinant of cardiometabolic disorders independent of abdominal obesity and insulin resistance in elderly men and women, Metabolism 2007, 56:1356–1362
  • Referans15 R. Wolfram-Gabel, R. Beaujeux, M. Fabre, P. Kehrli, J.L. Dietemann, P. Bourjat, Histologic characteristics of posterior lumbar epidural fatty tissue, J Neuroradiol 1996, 23:19–25
  • Referans16 Y.Y. Chau, R. Bandiera, A. Serrels, O. M. Martínez-Estrada, W. Qing, M. Lee, J. Slight, A. Thornburn, R. Berry, S. McHaffie, R.H. Stimson, B.R. Walker, R.M. Chapuli, A.Schedl, N. Hastie, Visceral and subcutaneous fat have different origins and evidence supports a mesothelial source, Nat Cell Biol. 2014 April, 16(4): 367–375
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Nilüfer Aylanç

Mustafa Reşorlu

Gürhan Adam This is me

Publication Date March 25, 2019
Acceptance Date October 22, 2018
Published in Issue Year 2019 Volume: 11 Issue: 1

Cite

APA Aylanç, N., Reşorlu, M., & Adam, G. (2019). Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View. Konuralp Medical Journal, 11(1), 41-47. https://doi.org/10.18521/ktd.420560
AMA Aylanç N, Reşorlu M, Adam G. Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View. Konuralp Medical Journal. March 2019;11(1):41-47. doi:10.18521/ktd.420560
Chicago Aylanç, Nilüfer, Mustafa Reşorlu, and Gürhan Adam. “Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View”. Konuralp Medical Journal 11, no. 1 (March 2019): 41-47. https://doi.org/10.18521/ktd.420560.
EndNote Aylanç N, Reşorlu M, Adam G (March 1, 2019) Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View. Konuralp Medical Journal 11 1 41–47.
IEEE N. Aylanç, M. Reşorlu, and G. Adam, “Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View”, Konuralp Medical Journal, vol. 11, no. 1, pp. 41–47, 2019, doi: 10.18521/ktd.420560.
ISNAD Aylanç, Nilüfer et al. “Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View”. Konuralp Medical Journal 11/1 (March 2019), 41-47. https://doi.org/10.18521/ktd.420560.
JAMA Aylanç N, Reşorlu M, Adam G. Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View. Konuralp Medical Journal. 2019;11:41–47.
MLA Aylanç, Nilüfer et al. “Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View”. Konuralp Medical Journal, vol. 11, no. 1, 2019, pp. 41-47, doi:10.18521/ktd.420560.
Vancouver Aylanç N, Reşorlu M, Adam G. Is Epidural Fat Affected by Peripheric or Visceral Adipose Tissue? A Radiologic View. Konuralp Medical Journal. 2019;11(1):41-7.