Spinal thoracic extradural angiolipoma manifesting as acute onset of paraparesis: Case report and review of literature

BACKGROUND: Angiolipomas are benign tumors most commonly found in the thoracic spine. They are composed of mature adipocytes and abnormal vascular elements that usually present with a slowly progressive course of neurological deterioration. CASE DESCRIPTION: A 35-year-old female, with a prior histor...

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Detalles Bibliográficos
Autores principales: Onishi, Franz Jooji, Salem, Flavio Augusto Sekeff, de Melo Lins, Diogo Luis, Dauar, Rafi Felicio Bauab, Stavale, João Norberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525459/
https://www.ncbi.nlm.nih.gov/pubmed/28791193
http://dx.doi.org/10.4103/sni.sni_467_16
Descripción
Sumario:BACKGROUND: Angiolipomas are benign tumors most commonly found in the thoracic spine. They are composed of mature adipocytes and abnormal vascular elements that usually present with a slowly progressive course of neurological deterioration. CASE DESCRIPTION: A 35-year-old female, with a prior history of back pain, acutely developed paraparesis. When the thoracic magnetic resonance imaging (MRI) revealed a dorsal epidural mass at the T3-T5 level, she underwent a laminectomy for gross total excision of the lesion that proved to be an angiolipoma. On the second postoperative day, the patient was again able to ambulate. CONCLUSION: The angiolipomas of spine are rare causes of spinal cord compression, and those presenting with acute neurological deficits should be immediately treated.

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