Extradural spinal angiolipoma

Area of Science:

• Neurology
• Neurosurgery
• Oncology

Background:

• Extradural spinal angiolipomas are uncommon tumors.
• This report reviews existing literature and proposes the entity of extradural spinal angiolipoma.

Observation:

• These tumors occur in adulthood, primarily in the mid-dorsal spine.
• They present as a progressive paraparesis over 1-2 years, potentially fluctuating with pregnancy or weight changes.
• The tumors are typically located dorsally over the dura, easily separable, and exhibit a distinct port-wine color against epidural fat.

Findings:

• Extradural spinal angiolipomas are benign and do not involve bony changes.
• Surgical excision is the recommended treatment, yielding positive results.

Implications:

• Recognition of extradural spinal angiolipoma is crucial for accurate diagnosis and management.
• Early surgical intervention can lead to favorable patient outcomes and recovery from paraparesis.