表现为急性双下肢轻瘫的胸椎硬膜外血管脂肪瘤：病例报告及文献复习
Spinal thoracic extradural angiolipoma manifesting as acute onset of paraparesis: Case report and review of literature.
作者信息
Onishi Franz Jooji, Salem Flavio Augusto Sekeff, de Melo Lins Diogo Luis, Dauar Rafi Felicio Bauab, Stavale João Norberto
机构信息
Neurosurgeon, Sao Paulo Federal University, Sao Paulo, Brazil.
Neurologist, Hospital das Clinicas Sao Paulo, Sao Paulo, Brazil.
出版信息
Surg Neurol Int. 2017 Jul 18;8:150. doi: 10.4103/sni.sni_467_16. eCollection 2017.
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.
背景
血管脂肪瘤是最常见于胸椎的良性肿瘤。它们由成熟脂肪细胞和异常血管成分组成，通常表现为神经功能逐渐恶化的病程。
病例描述
一名35岁女性，既往有背痛病史，急性出现双下肢轻瘫。当胸椎磁共振成像（MRI）显示T3 - T5水平的硬膜外肿块时，她接受了椎板切除术以完整切除病变，结果证实为血管脂肪瘤。术后第二天，患者再次能够行走。
结论
脊柱血管脂肪瘤是脊髓压迫的罕见原因，那些出现急性神经功能缺损的患者应立即接受治疗。
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