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[Spinal angiolipoma: case report]
J I Pinto-Rafael1, A Vázquez-Barquero, R Martín-Laez
1Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander.
Neurocirugia (Asturias, Spain)
|October 3, 2002
Summary
Spinal extradural angiolipomas are rare tumors. This case highlights acute myelopathy presentation and successful surgical resection in an elderly patient.
Area of Science:
- Neurosurgery
- Oncology
- Spinal Cord Diseases
Background:
- Spinal extradural angiolipomas are rare benign tumors, comprising 0.14-1.2% of all spinal neoplasms.
- Typically located in the thoracic extradural space, they often present as slowly progressive myelopathy.
Observation:
- An 85-year-old male presented with acute bilateral lower limb weakness and sphincter disturbance.
- MRI revealed a posterior extradural lesion at L1-L2, compressing the conus medullaris and cauda equina.
Findings:
- Urgent surgical treatment involved L1-L2 laminectomy for total tumor resection.
- Pathological examination confirmed the lesion as an angiolipoma.
Implications:
- This case underscores the possibility of acute presentation of spinal extradural angiolipomas.
- Successful surgical management can lead to favorable outcomes even in elderly patients with acute symptoms.