Infiltrating spinal angiolipoma.
Infiltrating angiolipomas are rarely encountered in the spine. We present a case involving a 71-year-old man with a dorsal epidural angiolipoma at the T5-T7 level. The tumor involved the T5-T6 vertebral bodies and left pedicle. The patient presented with acute paraparesis and MRI showed a homogeneously hyphointense lesion on T1-weighted images. The epidural component of the tumor was removed via laminectomy to achieve adequate cord decompression. The patient was symptom-free at a 2-year follow-up. This report emphasizes the unusual clinical presentation and MRI features of an infiltrating spinal angiolipoma and discusses therapeutic management options.
Yen
Han-Lin
HL
Department of Neurosurgery, Tainan Municipal Hospital, No. 670, Chongde Rd., East District, Tainan City 701, Taiwan. hanlin.yen@msa.hinet.net
Tsai
Shih-Chung
SC
Liu
Shian-Min
SM
D000208:Acute Disease; D000368:Aged; D018206:Angiolipoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D020335:Paraparesis / Q000209:etiology / Q000601:surgery; D011859:Radiography; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology*; D016896:Treatment Outcome