Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 54 5 2016 05 28 337 338 EN EFE Duran Department of Radiology, School of Medicine, Mevlana University, Konya, Turkey. Kemal Ilik Department of Neurosurgery, School of Medicine, Mevlana University, Konya, Turkey. Turker Acar Department of Radiology, School of Medicine, Mevlana University, Konya, Turkey. Melda Yıldız Department of Radiology, School of Medicine, Mevlana University, Konya, Turkey. 2015 10 18 2016 01 18 Spinal epidural lipomatosis is a rare condition which is described as the accumulation of fat in the extradural territory and often causes dural impingement. Spinal epidural lipomatosis has been implicated in causing a variety of neurologic impairments ranging from back pain, radiculopathy, claudication, myelopathy or even cauda equina syndrome. We report a 46-year-old female with obesity and a history of chronic back pain and radiculopathy who developed idiopathic Spinal epidural lipomatosis diagnosed by magnetic resonance imaging. The purpose of this report is to present a case of spinal epidural lipomatosis presenting with symptomatic cord compression and also remind this rare condition as a the differential diagnosis of epidural lesions in patients with risk factors. https://acta.tums.ac.ir/index.php/acta/article/view/5000 https://acta.tums.ac.ir/index.php/acta/article/download/5000/4795