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Infiltrating spinal angiolipoma causing myelopathy: case report.

S Kuroda1, H Abe, M Akino

  • 1Department of Neurosurgery, Hokkaido University School of Medicine, Japan.

Neurosurgery
|August 1, 1990
PubMed
Summary

This study reports an infiltrating spinal angiolipoma that extended into the spine, causing myelopathy. Surgical removal led to significant symptom improvement, highlighting the importance of early diagnosis and treatment for spinal tumors.

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Area of Science:

  • Neurosurgery
  • Spinal Oncology
  • Radiology

Background:

  • Spinal angiolipomas are rare tumors, with infiltrating types being exceptionally uncommon.
  • Differentiating infiltrating spinal angiolipomas from similar pathologies like vertebral hemangiomas is crucial for appropriate management.

Observation:

  • A case of infiltrating spinal angiolipoma extending into the vertebral body and epidural space is presented.
  • Epidural infiltration resulted in significant patient myelopathy.
  • Radiological findings mimicked vertebral hemangioma, necessitating advanced imaging for distinction.

Findings:

  • Contrast-enhanced computed tomographic scans revealed poor enhancement in the angiolipoma, aiding differentiation from vertebral hemangioma.
  • Surgical excision of the epidural tumor led to remarkable improvement in clinical symptoms.

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  • Histopathological confirmation of angiolipoma or angiomyolipoma is key for surgical planning.

    • Implications:

    • Early and accurate diagnosis of infiltrating spinal angiolipomas is vital for effective treatment.
    • An anterolateral surgical approach for complete tumor removal and vertebral stabilization is recommended.
    • This case underscores the importance of considering rare spinal tumors in the differential diagnosis of compressive myelopathy.