Spinal angiolipoma in a pregnant woman presenting with acute epidural hemorrhage

Epidural spinal angiolipoma: a case series

“…The most common initial symptoms include lower limb numbness or paraesthesia, leg weakness and back pain. It can evolve over a span of months to years, but occasionally sudden onset or worsening of neurological symptoms occurred when there is a rapid increase in tumor size due to intratumoral thrombosis, haemorrhage [7, 8]. …”

Thoracic epidural spinal angiolipoma with coexisting lumbar spinal stenosis: Case report and review of the literature

“…However, paraparesis or paraplegia may also occur acutely, particularly in the setting of tumor bleeding or thrombosis. [2][3][4][5][6]65,96 A presumed diagnosis can be usually made by MRI, although the ultimate diagnosis is made with biopsy. Lesions typically appear hyperintense on noncontrast T1-weighted images due to their fatty content.…”

“…Though they most commonly have an insidious course, in some cases the initial manifestation is acute paraplegia. [2][3][4][5][6] Nonetheless, piecemeal excision is achieved in most of these cases, and spinal cord decompression leads to symptom recovery in the majority of patients. 1 Thus, the purpose of this article is to report on a case of epidural SAL with co-existing lumbar spinal stenosis and to conduct a literature review on the topic.…”

Spinal angiolipoma manifesting with apoplexy

“…Akhaddar et al stated that haemorrhage into an angiolipoma can occur due to vigorous exercise which would augment blood flow size into the tumour to produce epidural bleeding and compression of the cord 9. In a case report by Tsutsumi et al , the patient was pregnant and the above said factors might have led to the bleeding in the tumour 10. In a case presented by Anson et al , the patient was a known case of hypertension and ischaemic heart disease.…”