Thoracic epidural angiolipoma with bilateral multilevel extraspinal extensions: A rare entity

Diyora, Batuk; Nayak, Naren; Kukreja, Sanjay; Kamble, Hanmant; Sharma, Alok

doi:10.4103/0028-3886.76875

Cited by 11 publications

(4 citation statements)

References 2 publications

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“…Spinal epidural angiolipomas are rare, benign tumors, with only 128 cases reported in the literature till now. [1,2,[6][7][8][9][10][11][12] The most common location of angiolipomas is in the soft tissues of the extremities, trunk, or neck. Berenbruch first described a case of spinal angiolipoma in 1890.…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural angiolipoma: A rare cause of spinal cord compression

Ghanta¹,

Koti

Dandamudi

2012

Journal of Neurosciences in Rural Practice

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Spinal epidural angiolipomas are rare, benign tumors composed of mature lipocytes admixed with abnormal blood vessels. Only 128 cases of spinal epidural angiolipomas have been reported in literature till now. Spinal angiolipomas are predominantly located in the mid-thoracic region. We report a case of dorsal epidural angiolipoma in a 56-year-old male who presented with paraparesis and was diagnosed to have D4-5 epidural angiolipoma. Total surgical excision of the epidural angiolipoma was done and his paraparesis gradually improved.

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Section: Discussionmentioning

confidence: 99%

Spinal epidural angiolipoma: A rare cause of spinal cord compression

Ghanta¹,

Koti

Dandamudi

2012

Journal of Neurosciences in Rural Practice

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“…Therefore, T1-MRI is the standard because it alludes to the presence of a lipid tumor with vascular components resulting in an inhomogeneous picture. [79122125] The level of vascularization correlates with hypointense regions, but iso- or hyper-intense regions may also be appreciated, usually within homogenous intensity in any one patient. The T1-imaging can be used, therefore, to rule out lipomas, which would not have the hypointense regions correlated with vascularization.…”

Section: Discussionmentioning

confidence: 99%

Spinal angiolipomas: A puzzling case and review of a rare entity

Shweikeh

Sangtani

Steinmetz

et al. 2017

J Craniovert Jun Spine

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Patients with spinal epidural abscesses (SEAs) may have a variable presentation. Such an infection has a typical appearance on magnetic resonance imaging (MRI) and enhances with gadolinium. We present a case that was a diagnostic challenge where pre- and intra-operative findings resulted in conflicting impressions. The mimicker was a spinal angiolipoma (SAL). The authors then provide a thorough review of this rare spinal neoplasm. A 55-year-old man presented with back pain, paresis, paresthesia, and urinary retention. MRI was indicative of a longitudinal epidural thoracic mass with a signal homogeneous to nearby fat, curvilinear vessels, and lack of enhancement. Although at emergent surgery, the lesion was found to contain abundant purulent material. Microbiology was positive for methicillin-resistant Staphylococcus aureus and consistent with SEA without evidence of neoplasia. While the imaging features were suggestive of an angiolipoma, the findings at surgery made SEA more likely, which were validated histopathologically. The diagnosis of SEA is often clear-cut, and the literature has reported only a few instances in which it masqueraded as another process such as lymphoma or myelitis. The case highlights SEA masquerading as an angiolipoma, and further demonstrates to clinicians that obtaining tissue diagnosis plays a crucial role diagnostically and therapeutically. SALs, on the other hand, are slow-growing tumors that can be infiltrating or noninfiltrating. They typically present with chronic symptoms and T1-MRI shows an inhomogeneous picture. Complete surgical excision is standard of care and patients tend to do well afterward.

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“…[ 6 18 ] Exacerbation of symptoms may occur during pregnancy and in obese patients probably because of hormonal changes and increase in a fatty component within the angiolipoma. [ 19 ] The CT appearance of spinal angiolipoma is that of a mass that is typically hypodense relative to the spinal cord and has variable degrees of enhancement after contrast administration. [ 20 ] MRI is the investigation of choice in diagnosing spinal angiolipoma.…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural angiolipomas: Clinical characteristics, management and outcomes

et al. 2016

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Purpose:The spinal epidural angiolipomas are rare expansive processes made of mature lipomatous and angiomatous elements. They often have a benign character. Their etiology, pathogenesis remains uncertain, and it is a cause of spinal cord compression. The magnetic resonance imaging is the most important neuroradiological examination. Histological examination is the only examination to confirm the diagnosis. Surgery is the treatment of choice.Methods:A retrospective study of all patients operated on for a spinal epidural angiolipoma at the Department of Neurosurgery at the National Institute of Neurology of Tunis between January 2000 and December 2014 (15 years) was performed. The aim of this study is to describe the clinical, radiological, histological characteristics and the treatment of this tumor.Results:A total of nine patients were operated from January 01, 2000 to November 30, 2014. The average age of our patients was 51 years with ages that ranged from 29 to 65 with a male predominance. The period between onset of symptoms and diagnosis ranged from 24 months with an average 12 months. Posterior localization of the tumor was seen in all patients. Surgical resection was performed for all cases. The postoperative course has been satisfactory, with a complete recovery of neurological functions in all patients.Conclusions:The spinal epidural angiolipomas is rare expansive process causing spinal cord compression. Treatment is exclusively surgical resection. The functional outcome of spinal epidural angiolipomas is particularly favorable with a complete neurological recovery is if the patient was quickly operated.

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Thoracic epidural angiolipoma with bilateral multilevel extraspinal extensions: A rare entity

Cited by 11 publications

References 2 publications

Spinal epidural angiolipoma: A rare cause of spinal cord compression

Spinal epidural angiolipoma: A rare cause of spinal cord compression

Spinal angiolipomas: A puzzling case and review of a rare entity

Spinal epidural angiolipomas: Clinical characteristics, management and outcomes

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