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Spinal angiolipoma—a rare but reversible cause of paraplegia in a child

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Abstract

Purpose

Spinal angiolipomas are benign spinal epidural tumors consisting of mature fat cells with angiomatous components. These tumors are rare in children and there are no definite management guidelines.

Method

To the best of our knowledge, only five cases of spinal angiolipomas have been reported in children below 12 years. This article discusses the presentation, diagnostics, and surgical tips for the management of a case of spinal angiolipoma.

Result

In this paper, we present a one and half-year-old child presenting with a spontaneous spinal epidural hematoma from a spinal angiolipoma and underscore the importance of early surgery in a benign disease for a good outcome.

Conclusion

Overall neurological recovery and prognosis following timely intervention for spinal angiolipomas are good.

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References

  1. Akhaddar A, Gazzaz M, Derraz S, Rifi L, Amarti A, Aghzadi A, El Ouahabi A n, El Khamlichi A n (2000) Spinal epidural angiolipomas: a rare cause of spinal cord compression. A report of 8 cases and review of the literature. Neurochirurgie 46(6):523–533

    CAS  PubMed  Google Scholar 

  2. Andaluz N, Balko G, Bui H, Zuccarello M (2000) Angiolipomas of the central nervous system. J Neuro-Oncol 49(3):219–230

    Article  CAS  Google Scholar 

  3. Bender JL, Van Landingham JH, Manno NJ (1974) Epidural lipoma producing spinal cord compression. Report of two cases. J Neurosurg 41(1):100–103

    Article  CAS  Google Scholar 

  4. Chotai S, Hur JS, Moon HJ, Kwon T-H, Park YK, Kim JH (2011) Spinal angiolipoma--case report. Neurol Med Chir (Tokyo) 51(7):539–542

    Article  Google Scholar 

  5. Cull DJ, Erdohazi M, Symon L (1978) Extradural haemangiolipoma in the spinal canal. Two cases presenting during pregnancy. Acta Neurochir 45(1):187–193

    Article  CAS  Google Scholar 

  6. Ehni G, Love JG (1945) Intraspinal lipomas: report of cases; review of the literature, and clinical and pathologic study. Arch Neurol Psychiatr 53(1):1–28

    Article  Google Scholar 

  7. Fourney DR, Tong KA, Macaulay RJ, Griebel RW (2001) Spinal angiolipoma. Can J Neurol Sci 28(1):82–88

    Article  CAS  Google Scholar 

  8. Gelabert-González M, Agulleiro-Díaz J, Reyes-Santías RM (2002) Spinal extradural angiolipoma, with a literature review. Childs Nerv Syst 18(12):725–728

    Article  Google Scholar 

  9. Gelabert-González M, García-Allut A (2009) Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J 18(3):324–335

    Article  Google Scholar 

  10. Kasper J, Cowan A (1929) Extradural lipoma of the spinal canal. Arch Pathol 8:800–802

    Google Scholar 

  11. Klisch J, Spreer J, Bloss HG, Baborie A, Hubbe U (1999) Radiological and histological findings in spinal intramedullary angiolipoma. Neuroradiology 41(8):584–587

    Article  CAS  Google Scholar 

  12. Kuroda S, Abe H, Akino M, Iwasaki Y, Nagashima K (1990) Infiltrating spinal angiolipoma causing myelopathy: case report. Neurosurgery 315

  13. 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(3):720–727

    Article  CAS  Google Scholar 

  14. Meng J, Du Y, Yang H-F, Hu F-B, Huang Y-Y, Li B, Zee C-S (2013) Thoracic epidural angiolipoma: a case report and review of the literature. World J Radiol 5(4):187–192

    Article  Google Scholar 

  15. Michilli R, Tzonos P, Iglesias-Rozas JR (1993) Spinal extradural angiolipoma: case report and literature review. Neurochirurgia (Stuttg) 36(2):63–65

    CAS  Google Scholar 

  16. Nanassis K, Tsitsopoulos P, Marinopoulos D, Mintelis A, Tsitsopoulos P (2008) Lumbar spinal epidural angiolipoma. J Clin Neurosci 15(4):460–463

    Article  Google Scholar 

  17. Pagni CA, Canavero S (1992) Spinal epidural angiolipoma: rare or unreported? Neurosurgery 31(4):758–764 discussion 764

    CAS  PubMed  Google Scholar 

  18. Parizel PM, Balériaux D, Rodesch G, Segebarth C, Lalmand B, Christophe C, Lemort M, Haesendonck P, Niendorf HP, Flament-Durand J (1989) Gd-DTPA-enhanced MR imaging of spinal tumors. AJR Am J Roentgenol 152(5):1087–1096

    Article  CAS  Google Scholar 

  19. Park JH, Jeon SR, Rhim SC, Roh SW (2008) Lumbar spinal extradural angiolipoma: case report and review of the literature. J Korean Neurosurg Soc 44(4):265–267

    Article  Google Scholar 

  20. Provenzale JM, McLendon RE (1996) Spinal Angiolipomas: MR Features:7

  21. Samdani AF, Garonzik IM, Jallo G, Eberhart CG, Zahos P (2004) Spinal angiolipoma: case report and review of the literature. Acta Neurochir 146(3):299–302

    Article  CAS  Google Scholar 

  22. Sandvik U, Svensdotter E, Gustavsson B (2015) Spinal cavernous extradural angiolipoma manifesting as a spontaneous spinal epidural hematoma in a child. Childs Nerv Syst 31(8):1223–1226

    Article  Google Scholar 

  23. Shibata Y, Sugimoto K, Matsuki T, Nose T (1993) Thoracic epidural angiolipoma--case report. Neurol Med Chir (Tokyo) 33(5):316–319

    Article  CAS  Google Scholar 

  24. Turgut M (1999) Spinal angiolipomas: report of a case and review of the cases published since the discovery of the tumour in 1890. Br J Neurosurg 13(1):30–40

    Article  CAS  Google Scholar 

  25. Wang FF, Wang S, Xue WH, Cheng JL (2017) Epidural spinal angiolipoma: a case series. BMC Res Notes 10(1):128

    Article  CAS  Google Scholar 

  26. Yang T, Niu C (2019) Microsurgical treatment for spinal epidural angiolipomas. Acta Neurol Belg:1–7. https://doi.org/10.1007/s13760-019-01192-6

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Authors and Affiliations

  1. Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India

    Palak A. Jaiswal, Ganesh Divakar, K. Krishnakumar, Arunkumar Karthikayan, Yogesh Sawakare & Mathew Abraham

  2. Department of Pathology, National Institute of Mental Health and Neurosciences (NIMHANS), Benguluru, India

    Radhika Mhatre

Authors
  1. Palak A. Jaiswal
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  2. Ganesh Divakar
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  3. K. Krishnakumar
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  4. Arunkumar Karthikayan
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  5. Yogesh Sawakare
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  6. Radhika Mhatre
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  7. Mathew Abraham
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Corresponding author

Correspondence to Ganesh Divakar.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional ethics committee.

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Individual patient consent was not required as the study was retrospective one and was undertaken with local institutional approval.

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Jaiswal, P.A., Divakar, G., Krishnakumar, K. et al. Spinal angiolipoma—a rare but reversible cause of paraplegia in a child. Childs Nerv Syst 36, 1121–1125 (2020). https://doi.org/10.1007/s00381-020-04542-5

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  • DOI: https://doi.org/10.1007/s00381-020-04542-5

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