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[Spinal extradural angiolipoma: a case report]

T Sakaki1, T Fujita, T Yoshimine

  • 1Department of Neurosurgery, Osaka University Medical School, Osaka, Japan.

No Shinkei Geka. Neurological Surgery
|October 1, 1993
PubMed
Summary

Central nervous system angiolipomas are rare spinal tumors. This case report details a 67-year-old man with a spinal epidural angiolipoma causing leg pain, successfully treated with surgical removal.

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Area of Science:

  • Neurology
  • Oncology
  • Pathology

Background:

  • Angiolipomas of the central nervous system (CNS) are exceptionally rare, with fewer than 40 cases documented in medical literature.
  • This study focuses on a specific case of spinal epidural angiolipoma, highlighting its clinical presentation and diagnostic features.

Observation:

  • A 67-year-old male presented with progressive bilateral leg pain and coldness over five years.
  • Magnetic Resonance (MR) imaging revealed a spinal mass at the Th12-L1 level, isointense on T1-weighted and slightly hyperintense on T2-weighted images.
  • The lesion, located epidurally and enhancing significantly post-contrast, was surgically excised.

Findings:

  • Histological examination confirmed the mass as an angiolipoma, characterized by mature fatty tissue and numerous dilated blood vessels.

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  • Complete surgical resection of the spinal epidural angiolipoma was achieved.

    • Implications:

    • This case contributes to the limited literature on CNS angiolipomas, emphasizing their potential for causing significant neurological symptoms.
    • Successful surgical management resulted in symptom resolution, underscoring the importance of accurate diagnosis and timely intervention for spinal epidural tumors.