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European Spine Journal

, Volume 18, Issue 3, pp 324–335 | Cite as

Spinal extradural angiolipoma: report of two cases and review of the literature

  • Miguel Gelabert-González
  • Alfredo García-Allut
Review

Abstract

Spinal angiolipomas are benign uncommon neoplasm composed of mature lipocytes admixed with abnormal blood vessels. They account for only 0.04–1.2% of all spinal tumors. We report two cases of lumbar extradural angiolipoma and review previously reported cases. We found 118 cases of spinal epidural angiolipoma (70 females and 48 males; age range 1.5–85 years, mean 44.03) spanning from 1890 to 2006. Prior to diagnosis 40.6% of the patients had weakness of the lower limbs. The interval between the initial symptoms and tumor diagnosis ranged from 1 day to 17 years (mean 20.2 months). Except for four cases diagnosed at autopsy, 109 patients underwent surgery and gross-total resection was performed in 79 cases (72.4%). Spinal angiolipomas are tumors containing angiomatous and lipomatous tissue, predominantly located in the mid-thoracic region. All angiolipomas show iso- or hyperintensity on T1-weighted images and hyperintensity on T2-weighted images and most lesions enhance with gadolinium administration. The treatment for spinal extradural angiolipomas is total surgical resection and no adjuvant therapy should be administered.

Keywords

Angiolipoma MR imaging Spinal cord Spinal epidural tumor Spinal cord compression 

Notes

Acknowledgment

The authors thank Mr. Romen Das Gupta for his assistance in the preparation of this paper.

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Miguel Gelabert-González
    • 1
    • 2
  • Alfredo García-Allut
    • 1
  1. 1.Neurosurgical Service, Department of SurgeryUniversity of Santiago de CompostelaSantiago de CompostelaSpain
  2. 2.Neurosurgical ServiceHospital ClínicoSantiago de CompostelaSpain

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