Spinal angiolipoma manifesting with apoplexy

Raghvendra Vijayrao Ramdasi; K M Avinasha; Amit Mahore; Juhi Kawale

doi:10.1136/bcr-2014-204379

Spinal angiolipoma manifesting with apoplexy

BMJ Case Rep. 2014 May 19:2014:bcr2014204379. doi: 10.1136/bcr-2014-204379.

Authors

Raghvendra Vijayrao Ramdasi¹, K M Avinasha¹, Amit Mahore¹, Juhi Kawale²

Affiliations

¹ Department of Neurosurgery, Seth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
² Department of Medicine, Seth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.

Abstract

We report a 58-year-old man presenting with acute paraplegia. MRI showed a haematoma within a well-defined epidural lesion at C7-D1. Intraoperatively, organised epidural haematoma surrounded by tumour tissue was found. The final histopathology report was angiolipoma. The patient had dramatic recovery. Angiolipomas should be considered in the differential diagnosis of acute paraplegia when imaging shows well-circumscribed haematoma.

2014 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Acute Disease
Angiolipoma / complications*
Angiolipoma / diagnosis*
Angiolipoma / pathology
Angiolipoma / surgery
Biopsy, Needle
Diagnosis, Differential
Diffusion Magnetic Resonance Imaging
Follow-Up Studies
Humans
Immunohistochemistry
Laminectomy / methods
Male
Middle Aged
Paraplegia / diagnosis
Paraplegia / etiology*
Paraplegia / surgery
Recovery of Function
Risk Assessment
Spinal Cord Compression / diagnosis*
Spinal Cord Compression / etiology
Spinal Cord Compression / surgery
Spinal Neoplasms / complications
Spinal Neoplasms / diagnosis*
Spinal Neoplasms / pathology
Spinal Neoplasms / surgery
Stroke / diagnosis
Stroke / etiology*
Treatment Outcome