脊髓血管脂肪瘤：病例报告及文献综述
Spinal angiolipoma: case report and literature review.
作者信息
Hungs Marcel, Paré Laura S
机构信息
Departament of Neurology, University of California-Irvine, Orange, California 92868, USA.
出版信息
J Spinal Cord Med. 2008;31(3):315-8. doi: 10.1080/10790268.2008.11760731.
Abstract
BACKGROUND/OBJECTIVE: Spinal angiolipoma (SAL) is an uncommon clinico-pathological entity.
DESIGN
Single case report.
METHODS
Retrospective data analysis.
FINDINGS
An obese woman with a 1-year history of progressive spastic paraparesis and acute deterioration underwent magnetic resonance imaging of the thoracic spine, the results of which suggested a tumor compressing the thoracic spinal cord. The histopathological examination of the completely resected tumor revealed an epidural angiolipoma.
CONCLUSIONS
This case report offers a reminder that SAL should be considered in the differential diagnosis of long-standing, slowly progressive paraparesis. It remains unclear whether an increased body mass index might be a contributing factor to the development of SAL.
摘要
背景/目的：脊髓血管脂肪瘤（SAL）是一种罕见的临床病理实体。
设计
单病例报告。
方法
回顾性数据分析。
结果
一名肥胖女性，有1年进行性痉挛性截瘫病史且病情急性恶化，接受了胸椎磁共振成像检查，结果提示有肿瘤压迫胸段脊髓。对完全切除的肿瘤进行组织病理学检查，显示为硬膜外血管脂肪瘤。
结论
本病例报告提醒，在对长期、缓慢进展的截瘫进行鉴别诊断时应考虑SAL。体重指数增加是否可能是SAL发生的一个促成因素仍不清楚。
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