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

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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.

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Acknowledgment

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

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  1. Neurosurgical Service, Department of Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain

    Miguel Gelabert-González & Alfredo García-Allut

  2. Neurosurgical Service, Hospital Clínico, La Choupana, 15706, Santiago de Compostela, Spain

    Miguel Gelabert-González

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Gelabert-González, M., García-Allut, A. Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J 18, 324–335 (2009). https://doi.org/10.1007/s00586-008-0858-8

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