Spinal Angiolipoma: Case Report and Literature Review

Hungs, Marcel; Pare, Laura

doi:10.1080/10790268.2008.11760731

Cited by 36 publications

(53 citation statements)

References 25 publications

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“…The biological behaviors of infiltrating and non-infiltrating SAL imply the need for different treatment approaches. Similar to the approach in our case description, non-infiltrating SAL is often encapsulated, and complete removal of the tumor ensures no recurrence and allows improvement of neurological symptoms (10,16). In cases of recurring or infiltrative SALs, wider resection followed by radiotherapy should be considered (3,12,15).…”

Section: Discussionmentioning

confidence: 78%

Thoracic spinal epidural angiolipoma: report of two cases and review of the literature

Fujiwara¹,

Kaito²,

Takenaka³

et al. 2011

Turkish Neurosurgery

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AIm: Spinal angiolipoma is a benign uncommon neoplasm composed of mature lipocytes admixed with abnormal blood vessels, and accounts for only 0.14-1.2% of all spinal tumors. mAteRIAl and methods: Retrospective data analysis. Results:We report two cases of a 64-year-old woman and a 65-year-old man with thoracic myelopathy due to spinal angiolipoma. Magnetic resonance imaging showed isointensity on T1-weighted imaging and hyperintensity on T2-weighted imaging and enhance with gadolinium administration. In one case, angiography elucidated the vascularity of the tumor and the relationship with concomitant hemangioma. Laminoplasty was performed to achieve tumor resection, and the postoperative course was uneventful with neurological improvement. Histopathological examination of the resected tumors revealed angiolipomas.ConClusIon: Although extremely rare, thoracic spinal epidural angiolipoma should be considered in the differential diagnosis of thoracic spinal lesions. Prognosis after surgical management of this lesion is favorable. Angiography was useful for preoperative evaluation of vascularity and the relationship with concomitant tumors. KeywoRds: Spinal epidural tumors, Angiolipoma, Myelopathy, Angiography ÖZAmAÇ: Spinal anjiyolipom nadir bir benign neoplazm olup anormal kan damarlarıyla karışmış matür lipositlerden oluşmuştur ve tüm spinal tümörlerin sadece %0,14 -1,2'sini oluşturur. yÖntem ve GeReÇleR: Retrospektif veri analiziBulGulAR: Spinal anjiyolipom nedeniyle torasik myelopatisi olan 64 yaşında bir kadın ve 65 yaşında bir erkek şeklinde iki vaka bildiriyoruz. Manyetik rezonans görüntüleme T1 ağırlıklı görüntülemede izointensite ve T2 ağırlıklı görüntülemede hiperintensite gösterdi ve gadolinyum uygulamasıyla güçleniyordu. Bir vakada anjiyografi tümörün vaskülaritesini ve eş zamanlı hemanjiyomla ilişkisini gösterdi. Tümör rezeksiyonu için laminoplasti yapıldı ve postoperatif seyir nörolojik düzelmeyle birlikte olaysız geçti. Rezeksiyonu yapılmış tümörlerin histopatolojik incelemesi anjiyolipom gösterdi. sonuÇ: Çok nadir olsa da torasik spinal epidural anjiyolipom torasik spinal lezyonların ayırıcı tanısında dikkate alınmalıdır. Bu lezyonun cerrahi tedavisinden sonra prognoz olumludur. Vaskülaritenin ve eş zamanlı tümörlerle ilişkinin değerlendirilmesi için anjiyografi faydalı olmuştur.

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Section: Discussionmentioning

confidence: 78%

Thoracic spinal epidural angiolipoma: report of two cases and review of the literature

Fujiwara¹,

Kaito²,

Takenaka³

et al. 2011

Turkish Neurosurgery

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“…4 Given the rarity and characteristically benign MRI findings of a true spinal lipoma, this lesion can be easily overlooked or misdiagnosed. Symptoms related to mass effect and secondary compressive myelopathy from a lipomatous mass could be caused by a true lipoma, an angiolipoma, or an SEL.…”

Section: Discussionmentioning

confidence: 99%

Radiculopathy in the setting of lumbar nerve root compression due to an extradural intraforaminal lipoma: a report of 3 cases

Loriaux¹,

Adogwa²,

Gottfried³

2015

SPI

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A true adult spinal lipoma is an exceedingly rare cause of lumbar compression neuropathy. Only 5 cases of true extradural intraforaminal lipomas have been documented in the medical literature. The diagnostic criteria and treatment guidelines for this specific lipoma have yet to be established. This report features 3 histologically confirmed cases of extradural intraforaminal spinal lipomas that recently presented to the authors’ practice. In addition, the literature was surveyed to include the 5 previously reported cases of true adult extradural intraforaminal spinal lipomas. The consistency in presentation, response to surgical intervention, and postoperative recovery in these 8 cases supports surgical intervention at the time of diagnosis. The authors’ findings support elevated clinical suspicion, efficient diagnosis based on MRI, and early surgical intervention for this rare pathological entity. All cases presented in this report were symptomatic and occurred in the absence of other significant pathologies such as general spinal epidural lipomatosis, intradural lesions, tethering, or severe degenerative stenosis or herniated discs. The clinical, neuroradiological, and histological findings characteristic of a true adult extradural intraforaminal lipoma are emphasized to differentiate this lesion from the more common etiologies for lumbar compression neuropathy. Heightened awareness and clinical suspicion for the focal, foraminal spinal lipoma as a cause of radiculopathy symptoms will enable more efficient diagnosis and treatment.

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“…SA, which account for 0.04% to 1.2% of all spinal axis tumors, predominantly arise in the epidural spaces, 1,2 and rarely show more aggressive biological behavior. 3,4 Pregnancy, weight gain, and hormonal factors are assumed to be aggravating factors of SA. 1,2,5 Here we describe a pregnant woman with an SA that manifested as an acute thoracic epidural hemorrhage and was successfully treated by emergent decompressive surgery.…”

Section: Introductionmentioning

confidence: 99%

Spinal angiolipoma in a pregnant woman presenting with acute epidural hemorrhage

Tsutsumi

Nonaka

Abe

et al. 2011

Journal of Clinical Neuroscience

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Spinal Angiolipoma: Case Report and Literature Review

Cited by 36 publications

References 25 publications

Thoracic spinal epidural angiolipoma: report of two cases and review of the literature

Thoracic spinal epidural angiolipoma: report of two cases and review of the literature

Radiculopathy in the setting of lumbar nerve root compression due to an extradural intraforaminal lipoma: a report of 3 cases

Spinal angiolipoma in a pregnant woman presenting with acute epidural hemorrhage

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