Hemorrhagic onset of spinal angiolipoma

Costa, Marcos Devanir Silva da; Paz, Daniel; Rodrigues, Thiago; Gandolfi, Ana Camila de Castro; Lamis, Fabricio Correa; Stávale, João Norberto; Suriano, Ítalo Capraro; Cetl, Luiz Daniel Marques Neves; Cavalheiro, Sérgio

doi:10.3171/2014.9.spine131162

Cited by 10 publications

(5 citation statements)

References 16 publications

(25 reference statements)

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“… 22 , 26 , 27 Critical onset or aggravated neurological symptoms occur if the lesion grows rapidly because of tumor thrombosis and/or hemorrhage. 28 – 31 …”

Section: Discussionmentioning

confidence: 99%

“…22,26,27 Critical onset or aggravated neurological symptoms occur if the lesion grows rapidly because of tumor thrombosis and/or hemorrhage. [28][29][30][31] X-rays of the spine often show negative results in patients with SALs, but might show erosion of the walls of the bodies and pedicles as a result of infiltrating tumors. 8,32 Myelography was performed in some cases and showed a characteristic posterior extradural spinal lesion with partial or complete filling defect.…”

Section: Discussionmentioning

confidence: 99%

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Spinal angiolipoma: a report of two cases and review of the literature

Wang

Tang

2020

J Int Med Res

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Spinal angiolipomas (SALs) are extremely rare benign tumors composed of both mature fatty tissue and anomalous vascular channels. We present two cases of SALs and review the clinical presentation, radiological appearance, pathological aspects, and treatment of this distinct clinicopathological mass. The patients’ neurologic symptoms improved postoperatively and follow-up revealed no signs of tumor recurrence or neurological deficit. SAL should be considered as a differential diagnosis in patients with spinal cord compression. Magnetic resonance imaging is important for detecting and characterizing SALs. The gold standard treatment modality should be total resection.

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“… 22 , 26 , 27 Critical onset or aggravated neurological symptoms occur if the lesion grows rapidly because of tumor thrombosis and/or hemorrhage. 28 – 31 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spinal angiolipoma: a report of two cases and review of the literature

Wang

Tang

2020

J Int Med Res

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“…Likewise, a rapid neurological deterioration was observed in the current case that is why we had initially diagnosed it as spinal epidural hemorrhage. Sudden onset or worsening of neurological findings occurred when there is a rapid increase in tumor size of angiolipomas due to intratumoral thrombosis, massive acute hemorrhage, or steal phenomenon [ 5 , 7 – 9 ]. Vigorous exercise can contribute to augment blood flow size in the tumor to produce epidural bleeding [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic Sudden Onset of Spinal Epidural Angiolipoma

Horiuchi¹,

Yamada

Sakai³

et al. 2018

Case Reports in Orthopedics

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Angiolipomas are relatively rare benign tumors. Spinal angiolipomas that generally induce slow progressive cord compression are most commonly found in the thoracic region. A 49-year-old female with obesity presented with a 1-week history of progressively worsening back pain, paresthesia of lower limbs, and gait disturbance. When thoracic magnetic resonance imaging (MRI) revealed a dorsal epidural mass at the Th5–Th8 level, the patient underwent a laminectomy for gross total excision of the lesion. Both mature fatty tissue and abnormal proliferating vascular elements with thin or expanded walls were observed in the resected tumor. Nonfiltrating spinal angiolipoma was diagnosed and confirmed by pathology. After the operation, sensory loss, numbness, and gait disturbance were improved following the disappearing severe back pain. Following examinations indicated the absence of recurrence within 1 year. The angiolipomas of the spine are rare causes of spinal cord compression that generally induce slow progressive cord compression, but sudden onset or rapid worsening of neurological deterioration is observed in hemorrhagic spinal angiolipoma.

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“…Most angiolipomas are slow-growing and present with gradually progressing radicular symptoms. In patients with intratumoral hemorrhage, the symptoms can include acute-onset myelopathy 2) . Our patient had bleeding around the mass, and the development of lower extremity weakness was relatively subacute.…”

Section: Discussionmentioning

confidence: 99%

Angiolipoma on the Lumbar Spine

Kang

Kim

et al. 2017

Korean J Spine

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Angiolipomas are composed of mature adipose tissue and blood vessels. Spinal angiolipomas are rare benign tumors with a good prognosis, and most symptoms are due to progressive compression of the spinal cord and root. The treatment of choice is total resection without any additional therapy. We report a case of an epidural angiolipoma on the lumbar spine in a 69-year-old man with weakness of the lower extremities. Lumbar magnetic resonance images revealed a well-enhanced epidural mass. He underwent laminectomy, and the tumor was completely removed. Pathologic examination confirmed the tumor was an angiolipoma. The patient’s symptoms gradually improved postoperatively.

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Hemorrhagic onset of spinal angiolipoma

Cited by 10 publications

References 16 publications

Spinal angiolipoma: a report of two cases and review of the literature

Spinal angiolipoma: a report of two cases and review of the literature

Hemorrhagic Sudden Onset of Spinal Epidural Angiolipoma

Angiolipoma on the Lumbar Spine

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