title: Spontaneous epidural hematoma due to cervico-thoracic angiolipoma.
abstract: Epidural angiolipomas are uncommon benign tumors of the spine. Their clinical presentation is usually a progressive spinal cord compression. We report the case of a 22-year-old patient who presented with an acute paraparesis and a spontaneous epidural hematoma, which revealed a epidural angiolipoma which extended from C7 to T3. The patient underwent a C7-T3 laminectomy, in emergency, with evacuation of the hematoma and extradural complete resection of a fibrous epidural tumor bleeding. The postoperative course was favorable with regression of neurological symptoms. Epidural angiolipomas can be revealed by spontaneous intratumoral hemorrhage without traumatism. The standard treatment is total removal by surgery.
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France. Electronic address: chris.eap@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Eap
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France.
authors.forename: M
authors.initials: M
authors.lastname: Bannwarth
authors.affiliation: Laboratoire central d'anatomie et cytologie pathologiques, CHU de Reims, 51100 Reims, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Jazeron
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Kleber
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France.
authors.forename: É
authors.initials: É
authors.lastname: Theret
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France.
authors.forename: J
authors.initials: J
authors.lastname: Duntze
authors.affiliation: Service de neurochirurgie, CHU de Reims, 51100 Reims, France.
authors.forename: C-F
authors.initials: CF
authors.lastname: Litre
mesh_terms: D018206:Angiolipoma / Q000150:complications*; D002574:Cervical Vertebrae; D046748:Hematoma, Epidural, Spinal / Q000209:etiology*; D006801:Humans; D008297:Male; D013120:Spinal Cord Neoplasms / Q000150:complications*; D013904:Thoracic Vertebrae; D055815:Young Adult
keywords: Angiolipoma; Angiolipome; Compression médullaire; Epidural spinal tumor; Hématome épidural; Spinal cord compression; Spinal epidural hematoma; Tumeur épidurale rachidienne