[Lumbar spinal angiolipoma].
Spinal angiolipomas are fairly infrequent benign tumours that are usually located in the epidural space of the thoracic column and represent 0.14% to 1.3% of all spinal tumours. Lumbar angiolipomas are extremely rare, representing only 9.6% of all spinal extradural angiolipomas. We report the case of a woman who complained of a lumbar pain of several months duration with no neurological focality and that had intensified in the last three days without her having had any injury or made a physical effort. The MR revealed an extradural mass L1-L2, on the posterior face of the medulla, decreasing the anteroposterior diameter of the canal. The patient symptoms improved after surgery. Total extirpation of the lesion is possible in most cases, and the prognosis is excellent even if the lesion is infiltrative. For this reason, excessively aggressive surgery is not necessary to obtain complete resection.
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España. Electronic address: eislapa@mixmail.com.
Alberto
A
Isla
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.
Rodrigo
R
Ortega Martinez
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.
Carlos
C
Pérez López
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.
Alvaro
A
Gómez de la Riva
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España.
Beatriz
B
Mansilla
D000328:Adult; D018206:Angiolipoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D004824:Epidural Space; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery
Angiolipoma; Radical resection; Resección radical; Spinal epidural tumour; Tumor espinal epidural