Mohammed Yusif, Elhamdani Shahed, Farooq Mobeen, Mazagri Rida
Department of Neurosurgery, Marshall University Joan C. Edwards School of Medicine, West Virginia, USA.
Surg Neurol Int. 2017 Jun 13;8:113. doi: 10.4103/sni.sni_148_17. eCollection 2017.
While it is a rare entity, spinal angiolipomas are well-defined benign tumors that have been described sporadically in the literature starting from the late 1800s. Composed of mature lipomatous and angiomatous elements, these tumors manifest neurological symptoms due to progressive spinal cord or root compression. We present a case of a thoracic spinal angiolipoma and review the relevant literature.
A 68-year-old male with ongoing bilateral lower extremity weakness was found on enhanced magnetic resonance imaging to have an extradural mass in the thoracic spine causing cord compression. A T4-T8 laminectomy and complete excision of the epidural mass resulted in reversal of the patient's neurological symptoms. Histopathology identified the mass as a thoracic spinal angiolipoma.
Given its uncommon occurrence and excellent prognosis, our report serves as a reminder to always consider spinal angiolipoma in the differential diagnosis of epidural masses.
脊髓血管脂肪瘤虽属罕见疾病，但却是边界清晰的良性肿瘤，自19世纪末起便在文献中偶有记载。这些肿瘤由成熟的脂肪组织和血管组织构成，因脊髓或神经根受压逐渐加重而出现神经症状。我们报告一例胸段脊髓血管脂肪瘤病例并回顾相关文献。
一名68岁男性，双侧下肢持续无力，增强磁共振成像检查发现胸椎硬膜外有一肿块压迫脊髓。行T4 - T8椎板切除术并完整切除硬膜外肿块后，患者神经症状得以缓解。组织病理学检查确定该肿块为胸段脊髓血管脂肪瘤。
鉴于其发病率低且预后良好，我们的报告提醒在硬膜外肿块的鉴别诊断中应始终考虑脊髓血管脂肪瘤。
