Summary
Approximately 60 cases of spinal angiolipomas have been described in the medical literature. Extradural tumours predominate. Lesions with a bony component, the infiltrating subgroup, were reported in 10 patients. Intradural angiolipomas were found three times. Several excellent review articles are available, but a systematic comparison of the characteristics of the two major varieties, infiltrating and non-infiltrating spinal extradural angiolipomas, has not so far been made.
The authors operated on two patients with spinal angiolipomas and found one of them the infiltrating and the other the non-infiltrating type. Then, they proceeded to a review of all publish cases of infiltrating angiolipomas. With a knowledge of recently reported data on the subject the authors compared essential clinical features of both varieties of tumours.
They share identical clinical characteristics. Differences found in age, sex or location were not statistically significant. Mode of onset and signs and symptoms present on admission were essentially similar. As could be anticipated, removal was more often complete in non-infiltrating tumours, but outcome was good or fair in more than 85% of cases in both groups. Involvement of bone by spinal angiolipomas does not imply a worsening in the prognosis.
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References
Anson J, Cybulski G, Reyes M (1990) Spinal extradural angiolipoma: a report of two cases and review of the literature. Surg Neurol 34: 173–178
Bender J, Van Landingham J, Manno N (1974) Epidural lipoma producing spinal cord compression. J Neurosurg 41: 100–103
Fernández JJ, Rico MA, Ribas T,et al (1994) Angiolipoma espinal como causa de compresión medular aguda; presentación de dos casos. Neurocirugía 5: 242–245
Gonzalez-Crussi F, Enneking WF, Arean VM (1966) Infiltrating angiolipoma. J Bone Joint Surg (Am) 48: 1111–1124
Haddad FS, Abla A, Allam CK (1986) Extradural spinal angiolipoma. Surg Neurol 26: 476–486
Howard WR, Helwig EB (1960) Angiolipoma. Arch Dermatol 82: 924–931
Kuroda S, Abe H, Akino M,et al (1990) Infiltrating spinal angiolipoma causing myelopathy: case report. Neurosurgery 27: 315–318
Lin JJ, Lin F (1974) Two entities in angiolipomas. A study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer 34: 720–727
Mascalchi M, Arnetoli G, Dal Pozzo,et al (1991) Spinal epidural angiolipomas: MR findings. AJNR 12: 744–745
Matsushima K, Shinohara Y, Yamamoto Met al (1987) Spinal extradural angiolipoma: MR and CT diagnosis. J Comput Assist Tomogr 11: 1104–1106
Pagni C, Canavero S (1992) Spinal epidural angiolipoma: rare or unreported? Neurosurgery 31: 758–764
Pearson J, Stellar S, Feigin I (1970) Angiomyolipoma: long-term cure following radical approach to malignant-appearing benign intraspinal tumor; report of three cases. J Neurosurg 33: 466–470
Preul M, Leblanc R, Tampieri D,et al (1993) Spinal angiolipomas: report of three cases. J Neurosurg 78: 280–286
Rivkind A, Margulies JY, Lebensart P,et al (1986) Anterior approach for removal of spinal angiolipoma. A case report. Spine 11: 623–625
Rubin G, Gornish M, Sandbank J,et al (1992) Spinal extradural angiolipoma: case report and review of the literature. Spine 17: 719–723
Schiffer J, Gilboa Y, Arlazoroff A (1980) Epidural angiolipoma producing compression of the cauda equina. Neurochirurgia (Stuttg) 23: 117–120
Turanzas FS, Domínguez J, Ayerbe J,et al (1994) Angiolipoma espinal infiltrante; caso clínico. Neurocirugía 5: 246–249
von Hanwehr R, Apuzzo MLJ, Ahmadi J,et al (1985) Thoracic spinal angiomyolipoma: case report and literature review. Neurosurgery 16: 406–411
Weill A, Melançcon D, Del Carpio R,et al (1991) Angiolipomes du système nerveux central. Rev Neurol (Paris] 4: 285–292
Weil A, Del Carpio-O'Donovan R, Tampieri D,et al (1991) Spinal angiolipomas: CT and MR aspects. J Comput Assist Tomogr 15: 83–85
Yamashita K, Fuji T, Nakai T,et al (1993) Extradural spinal angiolipoma: a report of a case studied with MRI. Surg Neurol 39: 49–52
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Trabulo, A., Cerqueira, L., Monteiro, J. et al. Spinal angiolipomas revisited: Two case reports. Acta neurochir 138, 1311–1319 (1996). https://doi.org/10.1007/BF01411061
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DOI: https://doi.org/10.1007/BF01411061