Velayudhan Dewaraj, Bhat Shyamasunder N, Mohanty Simanchal P
Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
J Taibah Univ Med Sci. 2021 Jan 8;16(2):295-299. doi: 10.1016/j.jtumed.2020.12.004. eCollection 2021 Apr.
Angiolipoma is a rare subtype of lipoma that contains both mature adipocytes and a rich vascular component. Infiltrating spinal angiolipomas causes surgical challenges with potential on-table injuries to adjacent structures. We present a rare case of infiltrating spinal angiolipoma in a 76-year-old woman who presented with paraplegia and hydrocephalus. At the time of presentation, the patient was bedridden for 3 months due to a complete loss of motor power. Imaging examination revealed a lesion involving the T6 vertebra with compressive myelopathy. The patient underwent spinal decompression and resection of the lesion, which turned out to be an infiltrating angiolipoma by histological examination. This is a unique case because spinal angiolipoma is extremely uncommon and such lesions generally manifest without infiltration. This case report highlights the existence and importance of spinal angiolipoma as a differential diagnosis of chronic backache resulting in neurological deficits and hydrocephalus.
血管脂肪瘤是脂肪瘤的一种罕见亚型，它包含成熟的脂肪细胞和丰富的血管成分。浸润性脊柱血管脂肪瘤会带来手术挑战，有可能在手术台上对相邻结构造成损伤。我们报告了一例罕见的浸润性脊柱血管脂肪瘤病例，患者为一名76岁女性，表现为截瘫和脑积水。就诊时，患者因完全丧失运动能力已卧床3个月。影像学检查显示一个累及T6椎体的病变，伴有压迫性脊髓病。患者接受了脊柱减压和病变切除术，组织学检查结果显示为浸润性血管脂肪瘤。这是一个独特的病例，因为脊柱血管脂肪瘤极为罕见，且此类病变通常无浸润表现。本病例报告强调了脊柱血管脂肪瘤作为导致神经功能缺损和脑积水的慢性背痛鉴别诊断的存在及其重要性。
