European Spine Journal

, Volume 27, Issue 4, pp 822–825 | Cite as

Paraspinal hibernoma: Grand Round presentation of a rare benign adipocytic tumor

  • Soufiane Ghailane
  • Houssam Bouloussa
  • Sandra Fauquier
  • Caroline Ziadé
  • Olivier Gille
Grand Rounds

Abstract Open image in new window


We report an uncommon case of paraspinal hibernoma with a T12–L1 foraminal extension and discuss the potential differential diagnoses of paraspinal adipocytic tumors.

Materials and methods

A 32-year-old woman consulted our department with a right subscapular and paraspinal mass. There was no associated neurological deficit. The MRI revealed a paraspinal adipocytic tumor with a T12–L1 right foraminal extension. Percutaneous biopsy suggested a diagnosis of hibernoma.


Hibernoma is a rare and benign adipocytic tumor arising from embryologic remnants of brown fat. Specific MRI findings are discussed to differentiate hibernoma from other soft-tissue tumors. A planned marginal resection was undertaken with the final histopathology confirming the diagnosis of hibernoma.


Based on the Grand Round case and relevant literature, we discuss a rare case of paraspinal hibernoma with a foraminal component and no recurrence at 3-year follow-up.


Brown fat Hibernoma Atypical lipomatous tumors Lipoma Liposarcoma 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Spinal Surgery Unit 1, Bordeaux University HospitalUniversité de BordeauxBordeauxFrance
  2. 2.Department of Pathology, Bordeaux University HospitalUniversité de BordeauxBordeauxFrance
  3. 3.Department of Radiology, Bordeaux University HospitalUniversité de BordeauxBordeauxFrance

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