European Spine Journal

, Volume 23, Issue 2, pp 417–425 | Cite as

Spinal angiolipoma: etiology, imaging findings, classification, treatment, and prognosis

Original Article

Abstract

Purpose

To summarise our experience treating patients with spinal angiolipomas (SAs) and to evaluate factors relating to its prognosis.

Methods

We retrospectively reviewed the records of patients diagnosed with SAs who received surgical treatment from January 2001 to February 2013.

Results

Twenty-one patients were described. We divide SAs into two types: “intraspinal” and “dumbbell-shaped”. The former were further subclassified as “with lipomatosis” and “without lipomatosis”. Overweight people are more likely to get the “with lipomatosis” type which needs different surgical strategy and/or a diet therapy to get better outcomes.

Conclusion

Diagnosis of SAs should be made with reference to clinical, radiological, and pathological findings. Application of different methods is needed to treat SAs.

Keywords

Diagnosis Spinal angiolipomas Prognosis Spinal tumour Treatment 

References

  1. 1.
    Garg A, Gupta V, Gaikwad S et al (2002) Spinal angiolipoma: report of three cases and review of MRI features. Australas Radiol 46:84–90PubMedCrossRefGoogle Scholar
  2. 2.
    Kujas M, Lopes M, Lalam TF et al (1999) Infiltrating extradural spinal angiolipoma. Clin Neuropathol 18:93–98PubMedGoogle Scholar
  3. 3.
    Fourney DR, Tong KA, Macaulay RJB et al (2001) Spinal angiolipoma. Can J Neu Sci 28:82–88Google Scholar
  4. 4.
    Ando K, Imagama S, Wakao N et al (2012) Examination of the influence of ossification of the anterior longitudinal ligament on symptom progression and surgical outcome of ossification of the thoracic ligamentum flavum: a multicenter study. J Neurosurg Spine 16:147–153PubMedCrossRefGoogle Scholar
  5. 5.
    Association JO (1994) Scoring system for cervical myelopathy. J Jpn Orthop Assoc 68:490–503Google Scholar
  6. 6.
    Hirabayashi K, Miyakawa J, Satomi K et al (1981) Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine 6:354–364PubMedCrossRefGoogle Scholar
  7. 7.
    Rubin G, Gornish M, Sandbank J et al (1992) Spinal extradural angiolipoma. Case report and review of the literature. Spine 17:719–724PubMedCrossRefGoogle Scholar
  8. 8.
    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 13:30–40PubMedCrossRefGoogle Scholar
  9. 9.
    Samdani AF, Garonzik IM, Jallo G et al (2004) Spinal angiolipoma: case report and review of the literature. Acta Neurochir (Wien) 146:299–302CrossRefGoogle Scholar
  10. 10.
    Gelabert-Gonza’lez M, Garc’a-Allut A (2009) Spinal extradural angiolipoma. Report of two cases and review of the literature. Eur Spine J 18:324–335CrossRefGoogle Scholar
  11. 11.
    Leu NH, Chen CY, Shy CG et al (2003) MR imaging of an infiltrating spinal epidural angiolipoma. AJNR 24:1008–1011PubMedGoogle Scholar
  12. 12.
    Groen RJ (2004) Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir (Wien) 146:103–110CrossRefGoogle Scholar
  13. 13.
    Ghanta RK, Koti K, Dandamudi S (2012) Spinal epidural angiolipoma: A rare cause of spinal cord compression. J Neurosci Rural Pract 3:341–343PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Barzin M, Maleki I (2009) Incidence of vertebral hemangioma on spinal magnetic resonance imaging in Northern Iran. Pak J Biol Sci 15;12:542–544Google Scholar
  15. 15.
    Miki T, Oka M, Shima M et al (1981) Spinal angiolipoma. A case report. Acta Neurochir (Wien) 58:115–119CrossRefGoogle Scholar
  16. 16.
    Provenzale JM, McLendon RE (1996) Spinal angiolipomas: MR features. AJNR Am J Neuroradiol 17:713–719PubMedGoogle Scholar
  17. 17.
    Preul MC, Leblanc R, Tampieri D et al (1993) Spinal angiolipomas: report of three cases. J Neurosurg 78:280–286PubMedCrossRefGoogle Scholar
  18. 18.
    Trabulo A, Cerqueira J, Roque P et al (1996) Spinal angiolipomas revisited: two case reports. Acta Neurochir (Wien) 138:1311–1319CrossRefGoogle Scholar
  19. 19.
    Tsutsumi S, Nonaka Y, Abe Y et al (2011) Spinal angiolipoma in a pregnant woman presenting with acute epidural hemorrhage. J Clin Neurosci 18:849–851PubMedCrossRefGoogle Scholar
  20. 20.
    Guegan Y, Fardoun R, Launois B et al (1982) Spinal cord compression by extradural fat after prolonged corticosteroid therapy. J Neurosurg 56:267–269PubMedCrossRefGoogle Scholar
  21. 21.
    Llewellyn CG (1996) Spinal angiolipoma mimicking extradural lipomatosis. Can Assoc Radiol J 47:51–53PubMedGoogle Scholar
  22. 22.
    Han SR, Yee GT, Choi CY et al (2012) Infiltrating spinal angiolipoma. J Korean Neurosurg Soc 52:161–163PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Haji FA, Patel YK, Ang LC et al (2011) A case of mistaken identity: spinal epidural angiolipoma. Can J Neurol Sci 38:357–359PubMedGoogle Scholar
  24. 24.
    Chotai S, Hur JS, Moon HJ et al (2011) Spinal angiolipoma–case report. Neurol Med Chir (Tokyo) 51:539–542CrossRefGoogle Scholar
  25. 25.
    Dufrenot L, Pelé E, Cursolle JC et al (2010) Spinal epidural angiolipoma: a case report. Ann Pathol 30:30–32PubMedCrossRefGoogle Scholar
  26. 26.
    Guzey FK et al (2007) Lumbar extradural infiltrating angiolipoma: a case report and review of 17 previously reported cases with infiltrating spinal angiolipomas. Spine J 7:739–744PubMedCrossRefGoogle Scholar
  27. 27.
    Lin JL, Lin F (1974) Two entities in angiolipoma. Cancer 34:720–727PubMedCrossRefGoogle Scholar
  28. 28.
    Murphey MD, Carroll JF, Flemming DJ et al (2004) From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics 24:1433–1466PubMedCrossRefGoogle Scholar
  29. 29.
    Guy R. Fogel, Paul Y. Cunningham, JDb et al.(2005) Spinal epidural lipomatosis: case reports, literature review and meta-analysis. Spine J 5:202–211Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Yu Si
    • 1
  • Zhenyu Wang
    • 1
  • Yi Pan
    • 2
  • Guozhong Lin
    • 1
  • Tao Yu
    • 1
  1. 1.Department of NeurosurgeryPeking University Third HospitalBeijingPeople’s Republic of China
  2. 2.Pathology DepartmentPeking University Health and Science CenterBeijingPeople’s Republic of China

Personalised recommendations