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Lumbar Extradural Angiolipoma: Clinical Presentation and Management
Tochukwu Ikpeze1, Abigail Kulp2, Devin Williams2
1Emergency Medicine, Hospital Corportation of America Kingwood, University of Houston, Houston, USA.
Cureus
|February 2, 2021
Summary
Spinal angiolipomas are rare benign tumors causing stenosis. This case report details successful surgical resection of a lumbar angiolipoma, leading to symptom improvement and no recurrence.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Angiolipomas are uncommon benign tumors.
- Spinal angiolipomas are rare, with most cases reported in the thoracic region.
- Lumbar angiolipomas are exceptionally rare.
Observation:
- A 39-year-old morbidly obese woman presented with neurogenic claudication and urinary changes due to a lumbar spinal angiolipoma.
- The angiolipoma caused significant spinal stenosis at the L1-L2 level.
Findings:
- Surgical management involved a T12-L2 laminectomy and en-bloc resection of the angiolipoma.
- The patient experienced neurological symptom improvement post-surgery.
- No recurrence was observed at the four-year follow-up.
Implications:
- This case highlights the possibility of lumbar angiolipomas as a cause of spinal stenosis.
- Surgical resection is an effective treatment for symptomatic spinal angiolipomas.
- Complete resection can lead to long-term symptom resolution and disease control.
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