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Extradural angiolipoma of the thoracic spine: a case report and literature review

Extradural angiolipoma of the thoracic spine: a case report and literature review

Authors:
Никита Дмитриевич Шмелев,
Николай Александрович Коновалов,
Евгений Сергеевич Бринюк,
Станислав Вячеславович Капровой,
Роман Андреевич Оноприенко,
Бахромхон Акбарович Закиров,
Леонтий Рудикович Габриелян,
Кристина Валерьевна Кузьмина

Журнал: Вопросы нейрохирургии имени Н.Н. Бурденко. 2026;90(3):102-106.

DOI: 10.17116/neiro202690031102

Read: 1174 раза

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Abstract

BACKGROUND

Spinal angiolipomas (SA) are rare primary tumors accounting for 0.14-1.2% of all spinal cord and spine tumors and approximately 3% of extradural spinal neoplasms (<0.1% of all primary CNS tumors). Histologically, SA consists of mature adipocytes and abnormally developed vessels. Clinical presentation of this tumor is due to severe spinal cord compression.

MATERIAL AND METHODS

The authors present a 33-year-old patient with severe spinal cord compression who underwent resection of Th6-Th8 spinal angiolipoma. The Pubmed, Medline, EMBASE, Cochrane Library and eLibrary databases were screened using appropriate keywords.

RESULTS AND DISCUSSION

Extradural tumor > 5 cm causing severe dural sac compression was excised. In early postoperative period, there were complete regression of preoperative lower spastic paraparesis and gait improvement.

CONCLUSION

SAs are extremely rare, and their total resection with preservation or improvement of neurological status is possible in a specialized hospital.

Keywords

  • extradural tumors
  • spinal angiolipomas
  • surgical treatment

Дата поступления: 10.02.2026

Дата принятия в печать: 12.03.2026

Дата публикации: 25.05.2026

References
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  2. Kang HI, Kim TW, Kim EJ, Park KH. Angiolipoma on the Lumbar Spine. Korean Journal of Spine. 2017;14(3):112-114. https://doi.org/10.14245/kjs.2017.14.3.112
  3. Rkhami M, Kedous MA, Achoura S, Zehani A, Bahri K, Zammel I. Epidural angiolipoma: A rare cause of spinal cord compression. International Journal of Surgery Case Reports. 2018;45:72-76. https://doi.org/10.1016/j.ijscr.2018.03.005
  4. Berenbruch K. Ein fall von multiplen angiolipomen kombiniert mit eniem angiom des ruckenmarks [A case of multiple angiolipomas combined with an angioma of the spinal cord]. Tübingen: Lupp; 1890. (In Germ.).
  5. Maduri R, Belouaer A, Brouland JP, Ecker T, Messerer M. Spinal angiolipomas in pregnancy: Natural history and surgical treatment. Clinical Neurology and Neurosurgery. 2019;178:25-30. https://doi.org/10.1016/j.clineuro.2019.01.015
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  7. Howard WR, Helwig EB. Angiolipoma. Archives of Dermatology. 1960;82:924-931. https://doi.org/10.1001/archderm.1960.01580060078011
  8. Benvenutti-Regato M, De la Garza-Ramos R, Caro-Osorio E. Thoracic epidural spinal angiolipoma with coexisting lumbar spinal stenosis: Case report and review of the literature. International Journal of Spine Surgery. 2015;9:67. https://doi.org/10.14444/2067
  9. Lee SH, Bock MS, Sheen SH, Han I, Sohn S. Thoracic spinal angiolipoma: A case report and literature review. The Nerve. 2023;9(2):167-173. https://doi.org/10.21129/nerve.2023.00360
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  11. Kang JH, Lee HS, Jung DW, Ha DJ, Kwak JY, Kim UC. Infiltrating epidural angiolipoma involving lumbar spine. Journal of the Korean Orthopaedic Association. 2015;50(2):148-153. https://doi.org/10.4055/jkoa.2015.50.2.148
  12. Benhayoun O, Makhchoune M, Jehri A, Yassine Haouas M, Hilmani S, Lakhdar A. Spinal extradural angiolipomas: A case report. Annals of Medicine and Surgery. 2021;65:102289. https://doi.org/10.1016/j.amsu.2021.102289
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