A rare case report of sacral epidural angiolipoma: Diagnosis and treatment

Somrani, Kaouther; Ammar, Hichem; Gargouri, Faten; Mansouri, Nada; Yedeas, Mondher; Chkili, R.

doi:10.25259/sni_1115_2021

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…This subtype is more common and is commonly found within the dorsal epidural space; it is encapsulated, distinguishing it from the surrounding tissue 1,28,32,38,42) . Therefore, this type can be completely remov ed 1,18,28,32,33,35,38,42,46) . The second type is the infiltration type, which is less common.…”

Section: Discussionmentioning

confidence: 99%

“…It is difficult to distinguish from the surrounding tissue. It usually invades the vertebral body because it is not encapsulated 1,18,28,32,33,35,38,42,46) . SAL usually shows a good prognosis with no additional treatments needed, even when the tumor is subtotally remov ed 1,4,12,16,18,21,27,29,31,46) .…”

Section: Discussionmentioning

confidence: 99%

“…Usually, SAL grows slowly and compresses the spinal cord or root, causing symptoms gradually 4,12,18,31,40,46) . SAL can be subdivided into two types, non-infiltrating and infiltrating 1,18,23,32,33,35,40) . The non-infiltrating type of SAL is easily dissected from the surrounding dura and adjacent tissue because it is encapsulated.…”

Section: Introductionmentioning

confidence: 99%

“…The non-infiltrating type of SAL is easily dissected from the surrounding dura and adjacent tissue because it is encapsulated. In contrast, the infiltrating type is not encapsulated, making total removal difficult 1,23,33,39,42) . Magnetic resonance imaging (MRI) has an important role in diagnosing SAL, but the gold standard for diagnosis is pathological diagnosis 1,4,18,23,32,38) .…”

Section: Introductionmentioning

confidence: 99%

“…The main treatment in SAL cases is surgical removal. Even when infiltrating type is subtotally removed, the prognosis is good 18,27,33,39,40) . We report a case of a patient with SAL complaining of cord compression symptoms arising from the thoracic level.…”

Section: Introductionmentioning

confidence: 99%

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Thoracic Spinal Angiolipoma: A Case Report and Literature Review

Lee,

Bock,

Sheen

et al. 2023

Nerve

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Spinal angiolipoma (SAL) is a rare benign tumor, accounting for 0.14% to 1.2% of all spinal tumors and approximately 3% of epidural spinal tumors. SAL is composed of mature adipocytes and abnormal blood vessels. Its gradual growth can cause spinal cord and root compression. No additional treatment is required after total surgical resection, and its prognosis is good. We report the c case of an 81-year-old man who had thigh pain and numbness in both feet, along with gait disturbance. High signal intensity was observed on T2- and T1-weighted magnetic resonance imaging. Contrast enhancement showed a highly contrasting epidural mass with spinal cord compression, spreading to the left neural foramen. The tumor was totally removed by laminectomy and facetectomy. After surgery, the patient’s symptoms gradually improved, and a pathological examination concluded that the tumor was an angiolipoma. SAL is an uncommon benign tumor, for which total surgical excision is the treatment of choice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Thoracic Spinal Angiolipoma: A Case Report and Literature Review

Lee,

Bock,

Sheen

et al. 2023

Nerve

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Demographic and clinical data of patients with spinal epidural angiolipomas

Lu,

Wang,

Liu

et al. 2024

Sci Rep

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Spinal epidural angiolipomas are rare, benign, mesenchymal tumors. It remains unclear whether spinal epidural angiolipomas are genuinely rare or merely underreported. Herein, we assessed the demographic and clinical characteristics of patients with spinal epidural angiolipoma. We collected data from patients with spinal epidural angiolipoma from three sources. First, we retrospectively analyzed data from patients diagnosed with spinal epidural angiolipoma in our hospital between January 1, 2014, and December 31, 2023. Second, we performed a literature review of studies retrieved from PubMed. Third, we retrieved detailed data of patients with spinal angiolipoma from the Surveillance, Epidemiology, and End Results (SEER) database. We conducted a descriptive analysis to investigate the demographic and clinical characteristics of patients with spinal epidural angiolipoma. At our institution, three patients were diagnosed with spinal epidural angiolipoma. Additionally, we identified 116 patients from the literature review and 15 patients from the SEER database. We reviewed the treatment history and imaging features of the three patients from our institution. The descriptive analysis of the data collected from the literature review was consistent with previous reports. For example, 63.0% of lesions were located at the thoracic level. 31.9% of these lesions involved two vertebral bodies, while 75.6% involved 2–4 vertebral bodies. The most common symptoms experienced by patients were back pain, paraparesis, and numbness in the legs. Surgery was the primary treatment option for most patients, and complete tumor resection was achieved in the majority of patients. The male:female ratio was 1:1.4, the median age at diagnosis for the patients from the literature was 49 years old, and the median follow-up was 24 months. Notably, most of the reports came from Asia and there were few reports from Africa. The findings from the SEER database indicated a male:female ratio of 2:1. The peak incidence, which is typically reported in the fifth decade of life, was not observed. We presented three cases of spinal epidural angiolipoma and supplemented our findings with a literature review and population-based analysis according to the SEER database for the United States population. We believe that our research will enhance clinicians’ comprehension of this uncommon tumor.

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Multilevel thoracic spinal epidural angiolipoma

Wardhana,

Lauren,

Rosyidi

2024

Surgical Neurology International

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Background: Spinal epidural angiolipomas (SEAL) are rare benign tumors composed of mature adipose tissue and abnormal blood vessels. SEALs account for 0.04–1.2% of all spinal tumors and 2–3% of spinal extradural lesions. They are usually found in the mid-thoracic dorsal extradural region. Here, we present the case of a 52-year-old female with a rare SEAL involving multiple thoracic levels. Case Description: A 52-year-old female presented with mid-thoracic pain and paraparesis (motor strength 3/5 proximal/distal). Magnetic resonance imaging (MRI) documented a well-demarcated, homogeneous dorsal epidural mass extending from T7 to T10. She underwent a laminectomy for tumor resection and decompression. The tumor, measuring 6 × 2 × 0.5 cm, consisted of mature adipose tissue and abnormal blood vessels. Postoperatively, the patient’s motor deficit fully resolved within 6 months. Conclusion: SEAL is a rare extradural dorsal thoracic spine tumor that can be readily diagnosed with MRI. The gold standard of treatment is gross total resection through a laminectomy.

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A rare case report of sacral epidural angiolipoma: Diagnosis and treatment

Cited by 3 publications

References 13 publications

Thoracic Spinal Angiolipoma: A Case Report and Literature Review

Thoracic Spinal Angiolipoma: A Case Report and Literature Review

Demographic and clinical data of patients with spinal epidural angiolipomas

Multilevel thoracic spinal epidural angiolipoma

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