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

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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… Click to show full abstract

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.

Keywords: extradural angiolipoma; thoracic extradural; case; paraparesis; angiolipoma manifesting; spinal thoracic

Journal Title: Surgical Neurology International
Year Published: 2017

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