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Spinal extradural angiolipomas: A case report
Othman Benhayoun1, Marouane Makhchoune1, Abdelhamid Jehri1
1Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco.
Annals of Medicine and Surgery (2012)
|April 29, 2021
Summary
Spinal extradural angiolipomas (SEALs) are rare benign tumors. This case highlights successful surgical resection of a SEAL causing paraplegia, emphasizing prompt diagnosis and intervention for spinal cord compression.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Angiolipomas are benign tumors comprising mature adipocytes and abnormal vascular components.
- Spinal extradural angiolipomas (SEALs) are exceptionally rare, accounting for <0.5% of adult spinal tumors and are virtually nonexistent in pediatric populations.
- SEALs can present diagnostic challenges due to their potential to mimic other spinal lesions on imaging.
Observation:
- A 35-year-old male presented with paraplegia and sphincter dysfunction.
- Magnetic resonance imaging (MRI) revealed extradural spinal lesions compressing the spinal cord from T7 to T10.
- The patient underwent total surgical resection of the angiolipoma.
Findings:
- Complete resection of the spinal extradural angiolipoma was achieved.
- No further neurological complications were observed post-operatively.
- Histopathological examination confirmed the diagnosis of angiolipoma.
Implications:
- Surgical resection remains the gold standard treatment for symptomatic SEALs.
- Early and accurate radiological diagnosis is crucial for effective management.
- While total resection is preferred, it may not always be feasible, necessitating tailored treatment strategies.
