Abstract
Spinal angiolipomas are extremely rare benign tumors composed of mature lipomatous and angiomatous elements. Most are symptomatic due to progressive spinal cord or root compression. This article describes the case of a 60-year-old woman who presented with a 6-month history of low back pain radiating to her right leg. The pain was multisegmental. The condition had worsened with time. Lumbar magnetic resonance imaging revealed a dorsal epidural mass at L5 and erosion of the lamina of the L5 vertebra. Laminectomy was performed, and an extradural tumor was totally excised. Neuropathologic examination identified it as a lumbar spinal angiolipoma. There was no evidence of recurrence in follow-up 12 months later. This rare clinical entity must be considered in the differential diagnosis for any spinal epidural lesion.
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References
Fourney DR, Tong KA, Macaulay RJ, Griebel RW (2001) Spinal angiolipoma. Can J Neurol Sci 28:82–88
Gonzalez-Crussi F, Enneking WF, Arean VM (1966) Infiltrating angiolipoma. J Bone Joint Surg Am 48:1111–1124
Kasper JA, Cowan A (1929) Extradural lipoma of the spinal canal. Arch Pathol 8:800–802
Lin JJ, Lin F (1974) Two entities in angiolipoma: a study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer 34:720–727
Lo Re F, Michelacci M (1969) Clinical and surgical findings on various lumbo-sacral abnormalities associated with angiolipoma. Arch Putti Chir Organi Mov 24:70–85
Oge HK, Soylemezoglu F, Rousan N, Ozcan OE (1999) Spinal angiolipoma: case report and review of literature. J Spinal Disord 12:353–356
Pagni CA, Canavero S (1992) Spinal epidural angiolipoma: rare or unreported?. Neurosurgery 31:758–764
Pinto-Rafael JI, Vazquez-Barquero A, Martin-Laez R, Garcia-Valtuille R, Sanz-Alonso F, Figols-Guevara FJ, et al (2002) Spinal angiolipoma: case report. Neurocirugia 13:321–325
Preul MC, Leblanc R, Tampieri D, Robitaille Y, Pokrupa R (1993) Spinal angiolipomas: report of three cases. J Neurosurg 78:280–286
Provenzale JM, McLendon RE (1996) Spinal angiolipomas: MR features. AJNR Am J Neuroradiol 17:713–719
Rabin D, Hon BA, Pelz DM, Ang LC, Lee DH, Duggal N (2004) Infiltrating spinal angiolipoma: a case report and review of the literature. J Spinal Disord Tech 17:456–461
Rocchi G, Caroli E, Frati A, Cimatti M, Savlati M (2004) Lumbar spinal angiolipomas: report of two cases and review of the literature. Spinal Cord 42:313–316
Sakaida H, Waga S, Kojima T, Kubo Y, Matsubara T, Yamamoto J (1998) Thoracic spinal angiomyolipoma with extracanal extension to the thoracic cavity: a case report. Spine 23:391–394
Scanarini M, Carteri A (1974) Intrarachidian lipomas: observations on 4 cases and pathogenetic considerations. J Neurosurg Sci 18:136–141
Schiffer J, Gilboa Y, Ariazoroff A (1980) Epidural angiolipoma producing compression of the cauda equina. Neurochirurgia 23:117–120
Turgut M (1999) Spinal angiolipomas: report of a case and review of the cases published since the discovery of the tumor in 1890. Br J Neurosurg 13:30–40
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Konya, D., Ozgen, S., Kurtkaya, O. et al. Lumbar spinal angiolipoma: case report and review of the literature. Eur Spine J 15, 1025–1028 (2006). https://doi.org/10.1007/s00586-005-1028-x
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DOI: https://doi.org/10.1007/s00586-005-1028-x