Thanks for your query at DoctorSpring.com
I understand your concern
Both the conditions are non-scary ones.
Hemangioma is a common condition which should not bother you at all. But Atypical hemangioma is better followed up every year with an MRI.
similarly epidural lipomatosis is a very very under diagnosed condition. But in your condition I don't think it is causing a considerable problem at all. You can just ignore it.
Hope it was helpful
Feel free to discuss further
Regards
Patient replied :
Thanks,
A quick followup question. In addition to the MRI, I had an EMG. the results are:
Normal NCV of both lower extremeties. EMG by needle examination of the left lateral gastrocnemius muscle reveals moderate chronic denervation/reinnervation which despite the normal NCV values suggests possible S radicular compromise.
Can you shed some light on this. Is this likely a result of the bulging disc mentioned in the previous question, or could it be related to the findings of atypical hemangioma or epidural lipomatosis? Does this mean there is nerve damage? Does the MRI and EMG results indicate something that can be handled nonsurgically? Sorry, just concerned even though the dr doesnt seem to be.
On MRI there is no neural foraminal narrowing at L5-S1 level. Mild stenosis should not produce EMG changes with normal NCV. I would suggest you to get a follow up repeat MRI LS Spine with NCV and EMG after an year. We can compare the reports at that time with those done now. If there are any progression of your symptoms then we shall do the tests earlier.
But as of now just relax.
Regards.