European Spine Journal

, Volume 17, Supplement 2, pp 296–298 | Cite as

Sudden onset of paraplegia caused by hemorrhagic spinal epidural angiolipoma. A case report

  • Ali Akhaddar
  • Abderrahmane Albouzidi
  • Brahim Elmostarchid
  • Miloudi Gazzaz
  • Mohamed Boucetta
Case Report

Abstract

Spinal epidural angiolipoma is a rare benign tumor containing vascular and mature adipose elements. A slow progressive clinical course was mostly presented and rarely a fluctuating course during pregnancy. The authors report the original case of spontaneous spinal epidural bleeding resulting from thoracic epidural angiolipoma who presented with hyperacute onset of paraplegia, simulating an extradural hematoma. The patient was admitted with sudden non-traumatic hyperacute paraplegia during a prolonged walk. Neurologic examination showed sensory loss below T6 and bladder disturbances. Spinal MRI revealed a non-enhanced heterogeneous thoracic epidural lesion, extending from T2 to T3. A bilateral T2–T4 laminectomy was performed to achieve resection of a lipomatous tumor containing area of spontaneous hemorrhage. The postoperative course was uneventful with complete neurologic recovery. Histologic examination revealed the tumor as an angiolipoma. Because the prognosis after rapid surgical management of this lesion is favorable, the diagnosis of spinal angiolipoma with bleeding should be considered in the differential diagnosis of hyperacute spinal cord compression.

Keywords

Angiolipoma Epidural spinal tumor Spinal cord compression Spinal epidural hematoma 

References

  1. 1.
    Akhaddar A, Gazzaz M, Derraz S, Rifi L, Amarti A, Aghzadi A, et al (2000) Spinal epidural angiolipomas: a rare case of spinal cord compression. A report of eight cases and review of the literature. Neurochirurgie 46:523–533PubMedGoogle Scholar
  2. 2.
    Anson JA, Cybulsky GR, Reyes M (1990) Spinal extradural angiolipoma: a report of two cases and review of the literature. Surg Neurol 34:173–178PubMedCrossRefGoogle Scholar
  3. 3.
    Boockvar JA, Black K, Malik S, Stanek A, Tracey KJ (1997) Subacute paraparesis induced by venous thrombosis of a spinal angiolipoma. Spine 22:2304–2308PubMedCrossRefGoogle Scholar
  4. 4.
    Fukui MB, Swarnkar AS, Williams RL (1999) Acute spontaneous spinal epidural hematomas. Am J Neuroradiol 20:1365–1372PubMedGoogle Scholar
  5. 5.
    Petrella G, Tamurrini G, Lauriola L, Di Rocco C (2005) Spinal epidural angiolipoma complicated by an intratumoral abscess. J Neurosurg 103:166–169PubMedGoogle Scholar
  6. 6.
    Preul MC, Leblanc R, Tampieri D, Robitaille Y, Pokrupa R (1993) Spinal angiolipomas. Report of three cases. J Neurosurg 78:280–286PubMedCrossRefGoogle Scholar
  7. 7.
    Samdani AF, Garonzik IM, Jallo G, Eberhart CG, Zahos P (2004) Spinal angiolipoma: case report and review of the literature. Acta Neurochir (Wien) 146:299–302CrossRefGoogle Scholar
  8. 8.
    Von Hanwehr R, Apuzzo MLJ, Ahmadi J, Chandrasoma P (1985) Thoracic spinal angiolipoma: case report and literature review. Neurosurgery 16:406–411CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Ali Akhaddar
    • 1
    • 3
  • Abderrahmane Albouzidi
    • 2
  • Brahim Elmostarchid
    • 1
  • Miloudi Gazzaz
    • 1
  • Mohamed Boucetta
    • 1
  1. 1.Department of Neurosurgery, Mohammed V Military Teaching HospitalUniversity of King Mohammed V-SouissiRabatMorocco
  2. 2.Department of Pathology, Mohammed V Military Teaching HospitalUniversity of King Mohammed V-SouissiRabatMorocco
  3. 3.RabatMorocco

Personalised recommendations