Spinal Angiolipoma: Diagnosis and Treatment

  • Miguel Gelabert-González
  • Ramón Serramito-Garcia
  • Eduardo Aran-Echabe
Chapter
Part of the Tumors of the Central Nervous System book series (TCNS, volume 10)

Abstract

Spinal angiolipomas are benign uncommon neoplasms originating in mesenchymal tissue, and are composed of mature lipocytes admixed with abnormal blood vessels. Angiolipomas frequently develop in the epidural space of the spine and more rarely in the orbit, the cavernous spaces, thalamus, and account for only 0.04–1.2% of all spinal tumors. These neoplasms can be categorized into two subtypes: non-infiltrating and infiltrating. The former is more common and remains confined to the epidural space whereas the latter invades the contiguous bone and adjacent soft tissues.

Spinal angiolipomas are predominantly located in the mid-thoracic region; hence, most patients present slowly progressive signs of spinal cord compression secondary to epidural mass. 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 surgical resection. Complete removal of an epidural non-infiltrating angiolipoma is possible in most cases and the prognosis is excellent and no adjuvant therapy should be administered. For infiltrating neo plasms complete removal may entail complications due to heavy bleeding.

Keywords

Spinal Canal Epidural Space Spinal Tumor Vertebral Hemangioma Spinal Lipoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Miguel Gelabert-González
    • 1
  • Ramón Serramito-Garcia
    • 1
  • Eduardo Aran-Echabe
    • 1
  1. 1.Department of NeurosurgeryUniversity of Santiago de CompostelaSantiago de CompostelaSpain

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