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

Benvenutti-Regato, Mario; Ramos, Rafael De la Garza; Caro-Osorio, Enrique

doi:10.14444/2067

Cited by 23 publications

(22 citation statements)

References 84 publications

(36 reference statements)

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“…The clinical presentations of SALs and SIECHs are similar and do not differ from other benign space-occupying spinal lesions; these include slow and progressive spinal cord compression leading to myelopathy and/or radiculopathy (7). The most common symptom of SALs is paraparesis (30.3%), followed by thoracic/low back pain (24.2%) (1,12). However, rare cases of acute hemorrhage resulting in sudden paraplegia have been documented (16).…”

Section: Discussionmentioning

confidence: 99%

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Epidural angiolipoma with concomitant intradural extramedullary capillary hemangioma at the same spinal level: A case report

Cheng

Jiang

2020

Oncol Lett

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Spinal epidural angiolipomas (SALs) and spinal intradural extramedullary capillary hemangiomas (SIECHs) are both types of rare benign tumor, and their pathogeneses appear to be associated. The present report is, to the best of our knowledge, the first case of spinal angiolipoma and intradural extramedullary capillary hemangioma occurring at the same spinal level. A 54 year-old male patient experienced two operations within four months due to the occurrence of SAL and one SIECH at the T3 level presenting with sudden paraplegia. Although the co-occurrence of SAL and SIECH at the same spinal level is an extremely rare condition, omitting the intradural tumor may be averted via scrutiny of preoperative images.

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Section: Discussionmentioning

confidence: 99%

“…Spinal angiolipomas (SALs) are scarce benign tumors composed of mature adipose tissue and abnormal vessels, which were first described in 1890 (1). In total, ~200 SAL cases of have been reported in the literature (2).…”

Section: Introductionmentioning

confidence: 99%

Epidural angiolipoma with concomitant intradural extramedullary capillary hemangioma at the same spinal level: A case report

Cheng

Jiang

2020

Oncol Lett

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“…[12] Although rare, spinal angiolipomas (SALs) also form an important subset from a clinical perspective. In the literature, around 200 cases of SAL have been recorded; accounting for <2% of all spinal neoplasms.…”

Section: Introductionmentioning

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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“…Spinal angiolipomas comprises 0.04%-1.2% of all spinal cord tumors and spinal 2-3% of extradural tumors [ 2 , 4 - 7 ]. Most of spinal angiolipomas are seen in thoracic region of posterior extradural areas [ 5 , 8 ]. Lumbar spinal angiolipomas are rarely seen and comprise 9.6% of all spinal angiolipomas [ 5 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Spinal angiolipomas do not often show infiltration, yet in some cases, infiltration to soft surrounding tissues and bone may occur [ 9 , 11 ]. Since angiolipoma is rarely seen in the spinal canal, it may not be noticed in the evaluation of lesions in this area [ 8 ]. It may sometimes mimic a malign tumor due to its infiltrative appearance in soft surrounding tissues and vertebra [ 8 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Lumbar Spinal Angiolipoma with Expanding Left Neural Foramen Mimicking Lumbar Schwannoma; Case Report and Review of The Literature

Akyuva

Gönültaş

Karaaslan

et al. 2017

TONEUJ

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Aim:To describe a patient with lumbar angiolipoma mimicking schwannoma in the posterolateral side of the spinal canal with expansion of the left lumbar foramen and to discuss the clinical, radiologic, and surgical features of these lesions with literature.Methods:Without language restriction in this paper, the electronic databases; The Cochrane Collaboration the Cochrane, The Cochrane Library (Issue 2 of 12, Feb. 2011), ProQuest, US National Library of Medicine, National Institutes of Health (NLM) and PubMed dating from 1966 September to January Week 2 2017, were searched for comparative experimental studies using the terms: “OR”, “AND”. On-line literature searches were conducted using the key words “lumbar angiolipoma”, “schwannoma “, “spinal angiolipoma”, “spinal cord”, and “spinal canal”. We compared this research with our patient.Results:Bilateral L2 total laminectomy, excision of the tumors and bilateral L2-L3 transpedicular stabilization were performed, and complaints improved prominently. Pathological examination was reported as angiolipoma.Conclusion:The research shows that a probable diagnosis in such tumor cases could be made by sufficient pre-op scanning before surgical operations and although angiolipoma has been rarely seen in lumbar posterolateral space, it can be seen in lumbar region and mimic schwannoma as producing symptoms and signs of spinal cord and nerve root compression.

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

Cited by 23 publications

References 84 publications

Epidural angiolipoma with concomitant intradural extramedullary capillary hemangioma at the same spinal level: A case report

Epidural angiolipoma with concomitant intradural extramedullary capillary hemangioma at the same spinal level: A case report

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

Lumbar Spinal Angiolipoma with Expanding Left Neural Foramen Mimicking Lumbar Schwannoma; Case Report and Review of The Literature

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