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Spinal extradural angiolipoma manifested after normal vaginal delivery.
Zakaria I Mohammed1, Moayad M Z Ahmed2
1Omdurman Military Hospital, P.O. Box 2613, 11111, Omdurman, Sudan. zakaria.mo@hotmail.com.
BMC Research Notes
|March 2, 2016
Summary
Spinal angiolipomas are rare tumors causing spinal cord compression. Surgical resection offers an excellent outcome, especially after pregnancy.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Extradural spinal angiolipomas are rare benign tumors composed of lipocytes and abnormal blood vessels, accounting for 0.14-1.2% of spinal tumors.
- These lesions are often asymptomatic but can cause significant neurological deficits.
Observation:
- A case of a 35-year-old woman with acute spinal cord compression due to a thoracic spinal extradural angiolipoma is presented.
- Symptoms of lower limb paralysis and urinary incontinence developed postpartum, suggesting pregnancy as a potential exacerbating factor.
Findings:
- Magnetic resonance imaging (MRI) is the gold standard for diagnosing spinal angiolipomas.
- Surgical excision is the primary treatment, with complete resection leading to excellent outcomes.
Implications:
- Spinal angiolipomas should be considered in the differential diagnosis of spinal extradural lesions.
- Pregnancy and vaginal delivery can precipitate or worsen symptoms in patients with spinal angiolipomas.
- Complete surgical resection without adjuvant therapy is curative for spinal angiolipomas.

