Spinal extradural angiolipomas : report of three cases
G P Rao1, G Bhasker1, A Hemaratnam1
1Department of Neurosurgery, Osmania General Hospital/Osmania Medical College, Hyderabad, Andra Pradesh, India.
Neurology India
|March 8, 2018
Summary
Extradural spinal angiolipomas in the dorsal region can cause compressive myelopathy. Surgical removal led to full recovery in all three reported cases, highlighting effective treatment outcomes.
Area of Science:
- Neurosurgery
- Spinal Pathology
- Vascular Tumors
Background:
- Extradural spinal angiolipomas are rare tumors.
- They can present as compressive myelopathy, necessitating prompt diagnosis and treatment.
- Understanding their origin is crucial for comprehensive management.
Purpose of the Study:
- To report three cases of extradural spinal angiolipomas.
- To discuss the role of imaging in diagnosing these lesions.
- To review the literature on spinal angiolipomas and their histogenesis.
Main Methods:
- Case series reporting three patients with dorsal extradural spinal angiolipomas.
- Surgical intervention for symptomatic lesions.
- Review of relevant medical literature.
- Histopathological examination of tumor samples.
Main Results:
- All three patients presented with compressive myelopathy due to extradural spinal angiolipomas.
- Complete recovery was achieved following surgical excision in all cases.
- Histopathology in one case suggested a common origin with hemangioma from pluripotential stem cells.
Conclusions:
- Surgical treatment is effective for extradural spinal angiolipomas causing myelopathy.
- Modern imaging plays a vital role in the preoperative diagnosis of these tumors.
- Angiolipomas and hemangiomas may share a common histogenetic pathway.
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