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Vol. 13. Issue 4.
Pages 321-325 (January 2002)
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Vol. 13. Issue 4.
Pages 321-325 (January 2002)
Angiolipoma espinal: presentación de un caso
Spinal angiolipoma: Case report
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J.I. Pinto-Rafael
, A. Vázquez-Barquero, R. Martín-Laez, F. Sanz-Alonso, Mª.C. Pérez-Castro
Servicio de Neurocirugía. Hospital Universitario Marqués de Valdecilla. Santander
F.J. Figols-Guevara*, R. García-Valtuille**, F. Abascal**, L. Cerezal**
* Departamento de Anatomía Patológica. Hospital Universitario Marqués de Valdecilla. Santander
** Instituto Radiológico Cántabro. Clínica Mompía. Santa Cruz de Bezana. Santander
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Resumen

Los angiolipomas espinales extradurales son tumores de carácter benigno poco frecuentes, que representan el 0,14–1,2% de todas las neoplasias raquídeas y se localizan preferentemente a nivel torácico. Clínicamente suelen presentarse como mielopatía, que puede debutar de forma aguda o instaurarse crónicamente. Presentamos el caso de un varón de 85 años con clínica de inicio agudo consistente en paraparesia espástica, acompañada de alteración de esfínteres. En la RM dorso-lumbar se objetivó una neoformación intrarraquídea a nivel L1–L2, que ocupaba el espacio epidural posterior, comprimiendo el cono medular y la cauda equina. El paciente fue intervenido con carácter urgente, realizándose una laminectomía L1–L2 y consiguiéndose la exéresis total de la neoformación. El estudio anatomopatológico fue informado como angiolipoma.

Palabras clave:
Angiolipoma espinal
Neoplasia
Compresión medular espinal
Summary

Spinal extradural angiolipomas are rare benign tumours, accounting for only 0.14–1.2% of all spinal neoplasms. They are usually localized within the thoracic extradural space of the spinal canal and their common clinical presentation is myelopathy, mainly in the way of a slowly progressive paraparesis and some-times in an acute form. We report the case of a 85 year old man who complained of bilateral lower limb weakness whith sphincter disturbance of acute instauration. The MRI showed a posterior extradural lesion at L1–L2 level that compressed conus medularis and cauda equina. He underwent urgent surgical treatment and we achieved total resection of the lesion via a L1–L2 laminectomy. The pathological examination confirmed the tumour as an angiolipoma.

Key words:
Spinal Angiolipoma
Neoplasm
Spinal cord compression

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